Evan Crenshaw, in Wellington, KS - Medicare Physical Therapist Provider

Evan Crenshaw, is a medicare enrolled "Physical Therapist" provider in Wellington, Kansas. His current practice location is 513 E 16th St, Wellington, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 968-3134.

Evan Crenshaw is licensed to practice in Kansas (license number 11-07351) 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 1134810351.

Contact Information

	Evan Crenshaw,
	513 E 16th St, Wellington, KS 67152-2802
	(620) 968-3134
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Crenshaw
Gender	Male
Speciality	Physical Therapist
Location	513 E 16th St, Wellington, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134810351
Provider Enumeration Date: 05/18/2023
Last Update Date: 06/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7416315916
Enrollment ID: I20230615000258

Medical Identifiers

Medical identifiers for Evan Crenshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134810351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11-07351 (Kansas)	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. Evan Crenshaw allows following entities to bill medicare on his behalf.

Provider Name	Advanced Pt Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780616789 PECOS PAC ID: 3678524709 Enrollment ID: O20060222000723

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. Evan Crenshaw 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
Evan Crenshaw, 200 W Douglas Ave Ste 250, Wichita, KS 67202-3002 Ph: (316) 263-0003	Evan Crenshaw, 513 E 16th St, Wellington, KS 67152-2802 Ph: (620) 968-3134

Reviews and Comments

Physical Therapist in Wellington, KS

Austin Dee Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 513 E 16th St, Wellington, KS 67152 Phone: 620-968-3134 Fax: 620-968-3135
Ashley Brooke Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 513 E 16th St, Wellington, KS 67152 Phone: 620-968-3134 Fax: 620-968-3135
Mrs. Heather Dawn Stone, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 N Ridge Rd, Wellington, KS 67152 Phone: 316-295-0984 Fax: 316-368-3112
Ryan Godfrey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 513 E 16th St, Wellington, KS 67152 Phone: 620-968-3134
Mr. Justin Corbin Mitchell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1323 N A St, Wellington, KS 67152 Phone: 620-399-1241 Fax: 620-399-1296

Evan Crenshaw, - Medicare Physical Therapist in Wellington, KS