Elijah Klepper, PT, DPT is a medicare enrolled "Physical Therapist" physician in Fort Wayne, Indiana. His current practice location is
11143 Parkview Plaza Dr Ste 100, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 266-7400.
Elijah Klepper is licensed to practice in Indiana (license number 05014657A) 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 1073378261.
Physician's Profile
| Full Name | Elijah Klepper |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 11143 Parkview Plaza Dr Ste 100, Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073378261
- Provider Enumeration Date: 02/16/2024
- Last Update Date: 02/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496191827
- Enrollment ID: I20240307003760
Medical Identifiers
Medical identifiers for Elijah Klepper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073378261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 05014657A (Indiana) | Secondary |
| 225100000X | Physical Therapist | 05014657A (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. Elijah Klepper allows following entities to bill medicare on his behalf.
| Entity Name | Parkview Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288 |
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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. Elijah Klepper 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 |
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Elijah Klepper, PT, DPT
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Elijah Klepper, PT, DPT
11143 Parkview Plaza Dr Ste 100,
Fort Wayne, IN 46845-1728
Ph: (260) 266-7400 |
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