Carly Lenzen, DPT in Willard, MO - Medicare Physical Therapist Provider

Carly Lenzen, DPT is a medicare enrolled "Physical Therapist" provider in Willard, Missouri. Her current practice location is 304 E Jackson St Ste 2f, Willard, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 221-4667.

Carly Lenzen is licensed to practice in Missouri (license number 2022030880) 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 1609674969.

Contact Information

	Carly Lenzen, DPT
	304 E Jackson St Ste 2f, Willard, MO 65781-9472
	(417) 221-4667
	(417) 744-9674

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Lenzen
Gender	Female
Speciality	Physical Therapist
Location	304 E Jackson St Ste 2f, Willard, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609674969
Provider Enumeration Date: 03/04/2025
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 8628587433
Enrollment ID: I20250603002907

Medical Identifiers

Medical identifiers for Carly Lenzen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609674969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2022030880 (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. Carly Lenzen allows following entities to bill medicare on her behalf.

Provider Name	Willard Physical Therapy Center Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528737780 PECOS PAC ID: 8123417037 Enrollment ID: O20211116000174

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. Carly Lenzen 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
Carly Lenzen, DPT 3811 S Weller Ave Apt A207, Springfield, MO 65804-5248 Ph: (480) 710-4523	Carly Lenzen, DPT 304 E Jackson St Ste 2f, Willard, MO 65781-9472 Ph: (417) 221-4667

Reviews and Comments

Physical Therapist in Willard, MO

Austin Evan Kats, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667
Dr. Kala Danielle Sheppard, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 Fax: 417-744-9674
Dakota Lager Pearce, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667
Lauren Alexandra Kelley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Farmer Rd, Willard, MO 65781 Phone: 417-742-0930
Maria S Harless, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Willard R-ii Schools, 407 Farmer Rd, Willard, MO 65781 Phone: 417-742-0930 Fax: 417-742-0841
Martina N/a Mikulic, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667

Carly Lenzen, DPT - Medicare Physical Therapist in Willard, MO