Mr Kenneth Micko, PT in Middletown, NJ - Medicare Physical Therapist Provider

Mr Kenneth Micko, PT is a medicare enrolled "Physical Therapist" provider in Middletown, New Jersey. His current practice location is 620 State Route 35, Middletown, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 671-9560.

Mr Kenneth Micko is licensed to practice in New Jersey (license number PT40QA01024400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114149382.

Contact Information

	Mr Kenneth Micko, PT
	620 State Route 35, Middletown, NJ 07748-4224
	(732) 671-9560
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kenneth Micko
Gender	Male
Speciality	Physical Therapist
Location	620 State Route 35, Middletown, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114149382
Provider Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6608251087
Enrollment ID: I20220921002276

Medical Identifiers

Medical identifiers for Mr Kenneth Micko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114149382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT40QA01024400 (New Jersey)	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. Mr Kenneth Micko allows following entities to bill medicare on his behalf.

Provider Name	Bridgeway Care At Home Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104383421 PECOS PAC ID: 6406198373 Enrollment ID: O20190424001051

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. Mr Kenneth Micko 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
Mr Kenneth Micko, PT 620 State Route 35, Middletown, NJ 07748-4224 Ph: (732) 671-9560	Mr Kenneth Micko, PT 620 State Route 35, Middletown, NJ 07748-4224 Ph: (732) 671-9560

Reviews and Comments

Physical Therapist in Middletown, NJ

Evolve Physical Therapy And Wellness Center Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 Pate Dr, Middletown, NJ 07748 Phone: 908-812-4643
Dr. Jessica Brooke Golden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Arose Ln, Middletown, NJ 07748 Phone: 732-290-5185 Fax: 732-612-1410
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Ms. Erika Weber, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1676 Highway 35, Middletown, NJ 07748 Phone: 732-533-5193 Fax: 732-451-3615
Mrs. Liliane Bittencourt Scafidi, P.T.,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 403 April Way, Middletown, NJ 07748 Phone: 774-488-9513
Joint Physical Therapy And Sports Medicine Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Old Country Rd, Middletown, NJ 07748 Phone: 908-670-0861

Mr Kenneth Micko, PT - Medicare Physical Therapist in Middletown, NJ