Alexa Gutierrez, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Ofallon, Missouri. Her current practice location is
4273 Keaton Crossing Blvd, Ofallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 493-8646.
Alexa Gutierrez is licensed to practice in Missouri (license number 2018021494) 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 1134606239.
Healthcare Provider's Profile
Full Name | Alexa Gutierrez |
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Gender | Female |
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Speciality | Physical Therapist - Orthopedic |
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Location | 4273 Keaton Crossing Blvd, Ofallon, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134606239
- Provider Enumeration Date: 07/23/2018
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911430004
- Enrollment ID: I20241028003377
Medical Identifiers
Medical identifiers for Alexa Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134606239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | 2018021494 (Missouri) | 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. Alexa Gutierrez allows following entities to bill medicare on her behalf.
Provider Name | Axes Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1003280421 PECOS PAC ID: 3375840028 Enrollment ID: O20160324001215 |
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Provider Name | Axes Physical Therapy I, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1679032700 PECOS PAC ID: 9335481688 Enrollment ID: O20190507001063 |
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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. Alexa Gutierrez 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 |
Alexa Gutierrez, 647 Spirit Airpark West Dr Ste 101, Chesterfield, MO 63005-1032 Ph: (636) 223-5700 | Alexa Gutierrez, 4273 Keaton Crossing Blvd, Ofallon, MO 63368-8220 Ph: (636) 493-8646 |
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