Eloise Ruth Kvam, DPT in St Louis Park, MN - Medicare Physical Therapist Provider

Eloise Ruth Kvam, DPT is a medicare enrolled "Physical Therapist" provider in St Louis Park, Minnesota. Her current practice location is 6500 Excelsior Blvd, Physical Therapy Department 7400, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-5900.

Eloise Ruth Kvam is licensed to practice in Minnesota (license number 8401) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619345493.

Contact Information

	Eloise Ruth Kvam, DPT
	6500 Excelsior Blvd, Physical Therapy Department 7400, St Louis Park, MN 55426-4702
	(952) 993-5900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Eloise Ruth Kvam
Gender	Female
Speciality	Physical Therapist
Location	6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619345493
Provider Enumeration Date: 09/10/2015
Last Update Date: 09/10/2015

Medicare PECOS Information:

PECOS PAC ID: 3173833761
Enrollment ID: I20151111001348

Medical Identifiers

Medical identifiers for Eloise Ruth Kvam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619345493	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8401 (Minnesota)	Primary

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. Eloise Ruth Kvam allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Eloise Ruth Kvam 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
Eloise Ruth Kvam, DPT 6500 Excelsior Blvd, Physical Therapy Department 7400, St Louis Park, MN 55426-4702 Ph: (952) 993-5900	Eloise Ruth Kvam, DPT 6500 Excelsior Blvd, Physical Therapy Department 7400, St Louis Park, MN 55426-4702 Ph: (952) 993-5900

Reviews and Comments

Physical Therapist in St Louis Park, MN

Mary Katherine Kosanda, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6014
Sarah Sween Ramer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300
Jennifer A Deutz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Nicole Williams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3912 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-835-4512 Fax: 888-425-0398
Angela Marie Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Kathy Ann Kurdelmeier, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5486
Jessica Elizabeth Wahlstrom, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 992-993-2773

Eloise Ruth Kvam, DPT - Medicare Physical Therapist in St Louis Park, MN