Brooke Alic Kicos, PT in Mason, OH - Medicare Physical Therapist Provider

Brooke Alic Kicos, PT is a medicare enrolled "Physical Therapist" provider in Mason, Ohio. Her current practice location is 5640 Cox Smith Rd, Mason, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 398-2881.

Brooke Alic Kicos is licensed to practice in Ohio (license number 015571) 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 1104456813.

Contact Information

	Brooke Alic Kicos, PT
	5640 Cox Smith Rd, Mason, OH 45040-2210
	(513) 398-2881
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Alic Kicos
Gender	Female
Speciality	Physical Therapist
Location	5640 Cox Smith Rd, Mason, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104456813
Provider Enumeration Date: 01/22/2020
Last Update Date: 01/22/2020

Medicare PECOS Information:

PECOS PAC ID: 6406226901
Enrollment ID: I20221227001908

Medical Identifiers

Medical identifiers for Brooke Alic Kicos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104456813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	015571 (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. Brooke Alic Kicos allows following entities to bill medicare on her behalf.

Provider Name	Affordable Home Health Care Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861413999 PECOS PAC ID: 9739192147 Enrollment ID: O20130129000550

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. Brooke Alic Kicos 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
Brooke Alic Kicos, PT 6200 Osceola Rd, Morrow, OH 45152-9757 Ph: (513) 967-0877	Brooke Alic Kicos, PT 5640 Cox Smith Rd, Mason, OH 45040-2210 Ph: (513) 398-2881

Reviews and Comments

Physical Therapist in Mason, OH

Sci-step, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4457 Bethany Rd, Building J, Mason, OH 45040 Phone: 513-459-2282 Fax: 513-459-0265
Erin Ashley Butler, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9560 Children Dr, Mason, OH 45040 Phone: 513-636-6913
Mr. Jonathan Kemp Nugent, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7922 Winding Creek Ct, Mason, OH 45040 Phone: 513-821-8700 Fax: 513-821-0500
Cari Ann Rave, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6020 S Mason Montgomery Rd, Mason, OH 45040 Phone: 513-204-6490
Jena Rutter, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6650 Tradition Trl, Mason, OH 45040 Phone: 513-492-7533
Mark Douglas Mcentire, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6499 Mason-montgomery Road, Suite D, Mason, OH 45040 Phone: 513-336-7642

Brooke Alic Kicos, PT - Medicare Physical Therapist in Mason, OH