Carly Kauwela Harris, DPT in Fort Wayne, IN - Medicare Physical Therapy Provider

Carly Kauwela Harris, DPT is a medicare enrolled "Physical Therapist" provider in Fort Wayne, Indiana. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Protailored Physical Therapy Llc and her current practice location is 12722 Tonkel Rd Ste 102, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 739-0300.

Carly Kauwela Harris is licensed to practice in Indiana (license number 05014420A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417579087.

Contact Information

	Carly Kauwela Harris, DPT
	12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201
	(260) 739-0300
	(260) 818-2299

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Kauwela Harris
Gender	Female
Speciality	Physical Therapy
Experience	5 Years
Location	12722 Tonkel Rd Ste 102, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carly Kauwela Harris graduated from medical school in 2019

NPI Data:

NPI Number: 1417579087
Provider Enumeration Date: 05/17/2020
Last Update Date: 10/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0941621114
Enrollment ID: I20211104001486

Medical Identifiers

Medical identifiers for Carly Kauwela Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417579087	NPI	-	NPPES
300056068	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4990 (Hawaii)	Secondary
225100000X	Physical Therapist	05014420A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Protailored Physical Therapy Llc	4385962497	17

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carly Kauwela Harris allows following entities to bill medicare on her behalf.

Provider Name	Protailored Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063805042 PECOS PAC ID: 4385962497 Enrollment ID: O20150421000554

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Kauwela Harris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carly Kauwela Harris, DPT 6933 State Road 8, Butler, IN 46721-9759 Ph: (808) 443-9078	Carly Kauwela Harris, DPT 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 Ph: (260) 739-0300

Reviews and Comments

Physical Therapist in Fort Wayne, IN

Mrs. Dawn Rochner Lang, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809 Phone: 260-747-2353
Tia Schrader, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Lahmeyer Rd, Fort Wayne, IN 46815 Phone: 260-432-4700
Mr. Todd Michael Sullivan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7930 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-5800 Fax: 260-432-9555
Deborah Guebard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805 Phone: 260-483-2100
Mr. David L Kuhn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-478-5230 Fax: 260-478-5235
Ms. Andrea Jantson Smith, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439
Elaine Coleman Prouty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818 Phone: 260-497-0328

Carly Kauwela Harris, DPT - Medicare Physical Therapist in Fort Wayne, IN