Lydia Raderstorf-leach, DPT in Kokomo, IN - Medicare Physical Therapist Provider

Lydia Raderstorf-leach, DPT is a medicare enrolled "Physical Therapist" provider in Kokomo, Indiana. Her current practice location is 2108 E Boulevard, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 416-8480.

Lydia Raderstorf-leach is licensed to practice in Indiana (license number 05013831A) 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 1215547955.

Contact Information

	Lydia Raderstorf-leach, DPT
	2108 E Boulevard, Kokomo, IN 46902-2401
	(765) 416-8480
	(655) 885-4807

Map and Direction

Healthcare Provider's Profile

Full Name	Lydia Raderstorf-leach
Gender	Female
Speciality	Physical Therapist
Location	2108 E Boulevard, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215547955
Provider Enumeration Date: 08/07/2020
Last Update Date: 10/11/2021

Medicare PECOS Information:

PECOS PAC ID: 6608274261
Enrollment ID: I20211012001968

Medical Identifiers

Medical identifiers for Lydia Raderstorf-leach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215547955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05013831A (Indiana)	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. Lydia Raderstorf-leach allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959

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. Lydia Raderstorf-leach 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
Lydia Raderstorf-leach, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 265-4606	Lydia Raderstorf-leach, DPT 2108 E Boulevard, Kokomo, IN 46902-2401 Ph: (765) 416-8480

Reviews and Comments

Physical Therapist in Kokomo, IN

Jeffrey R Bennett Jr., PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 506 E Southway Blvd, Kokomo, IN 46902 Phone: 765-626-0299 Fax: 765-864-2070
Team Rehabilitation In10, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2302 S Dixon Rd Ste 150, Kokomo, IN 46902 Phone: 765-416-6630 Fax: 765-416-6629
Empowerme Rehabilitation Illinois, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 329 Rainbow Dr, Kokomo, IN 46902 Phone: 877-367-9772
Lauren Batman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2108 E Boulevard, Kokomo, IN 46902 Phone: 765-416-8480
Jennifer L. Ousley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902 Phone: 765-455-2122 Fax: 765-455-3122
Dewayne M. Ewing, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1932 S Dixon Rd, Kokomo, IN 46902 Phone: 765-626-9700 Fax: 765-626-9701
Susan R Swales, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902 Phone: 765-455-2122 Fax: 765-453-6643

Lydia Raderstorf-leach, DPT - Medicare Physical Therapist in Kokomo, IN