Mrs Kristi L Horneck, PT, DPT is a medicare enrolled "Physical Therapist" physician in Manitowoc, Wisconsin. Her current practice location is
1212 Memorial Dr # 1, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 652-9554.
Mrs Kristi L Horneck is licensed to practice in Wisconsin (license number 40389600) 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 1063626158.
Physician's Profile
| Full Name | Mrs Kristi L Horneck |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 1212 Memorial Dr # 1, Manitowoc, Wisconsin |
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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: 1063626158
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 10/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628178373
- Enrollment ID: I20070710000553
Medical Identifiers
Medical identifiers for Mrs Kristi L Horneck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063626158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 4719-24 (Wisconsin) | Secondary |
| 225100000X | Physical Therapist | 40389600 (Wisconsin) | 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. Mrs Kristi L Horneck allows following entities to bill medicare on her behalf.
| Entity Name | Athletic & Therapeutic Institute Of Milwaukee, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801907464
PECOS PAC ID: 2062469190
Enrollment ID: O20140616000469 |
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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. Mrs Kristi L Horneck 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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Mrs Kristi L Horneck, PT, DPT
790 Remington Blvd,
Bolingbrook, IL 60440-4909
Ph: (866) 370-8206 | Mrs Kristi L Horneck, PT, DPT
1212 Memorial Dr # 1,
Manitowoc, WI 54220-2247
Ph: (920) 652-9554 |
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