Kelly A Brzozowski, PT is a medicare enrolled "Physical Therapist" physician in Beachwood, Ohio. Her current practice location is
24400 Highpoint Rd Ste 10, Beachwood, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 896-0824.
Kelly A Brzozowski is licensed to practice in Ohio (license number PT005903) 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 1912410382.
Physician's Profile
| Full Name | Kelly A Brzozowski |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 24400 Highpoint Rd Ste 10, Beachwood, Ohio |
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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: 1912410382
- Provider Enumeration Date: 11/08/2017
- Last Update Date: 08/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 9032476072
- Enrollment ID: I20171130000567
Medical Identifiers
Medical identifiers for Kelly A Brzozowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912410382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PT005903 (Ohio) | Secondary |
| 225100000X | Physical Therapist | PT005903 (Ohio) | 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. Kelly A Brzozowski allows following entities to bill medicare on her behalf.
| Entity Name | Northern Ohio Medical Specialists, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225085855
PECOS PAC ID: 2769386192
Enrollment ID: O20031126000214 |
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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. Kelly A Brzozowski 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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Kelly A Brzozowski, PT
24400 Highpoint Rd Ste 10,
Beachwood, OH 44122-6027
Ph: (216) 896-0824 | Kelly A Brzozowski, PT
24400 Highpoint Rd Ste 10,
Beachwood, OH 44122-6027
Ph: (216) 896-0824 |
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