Charlene Kantack Anderson, PHYSICAL THERAPIST - Medicare Physical Therapist in Newbury Park, CA

  1. Home
Charlene Kantack Anderson, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" physician in Newbury Park, California. Her current practice location is 238 Dickenson Ave, Newbury Park, California. You can reach out to her office (for appointments etc.) via phone at (805) 551-5420.

Charlene Kantack Anderson is licensed to practice in * (Not Available) (license number ) 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 1003344003.

Contact Information

Charlene Kantack Anderson, PHYSICAL THERAPIST
238 Dickenson Ave,
Newbury Park, CA 91320-4326
(805) 551-5420
Not Available

Map and Direction




Physician's Profile

Full NameCharlene Kantack Anderson
GenderFemale
SpecialityPhysical Therapist
Location238 Dickenson Ave, Newbury Park, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003344003
  • Provider Enumeration Date: 06/02/2017
  • Last Update Date: 05/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688079163
  • Enrollment ID: I20230427002568

Medical Identifiers

Medical identifiers for Charlene Kantack Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003344003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation PT16045 (California)Secondary
225100000XPhysical Therapist (* (Not Available))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. Charlene Kantack Anderson allows following entities to bill medicare on her behalf.
Entity NameSynergy Care Southeast Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1427466614
PECOS PAC ID: 6204079163
Enrollment ID: O20141017000587

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. Charlene Kantack Anderson 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 AddressPractice Location Address
Charlene Kantack Anderson, PHYSICAL THERAPIST
238 Dickenson Ave,
Newbury Park, CA 91320-4326

Ph: () -		Charlene Kantack Anderson, PHYSICAL THERAPIST
238 Dickenson Ave,
Newbury Park, CA 91320-4326

Ph: (805) 551-5420

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.