Chanel Irene Marie Ebert, PT, DPT is a medicare enrolled "Physical Therapist" provider in Willow, Alaska. Her current practice location is
24413 W Willow Creek Pkwy, Willow, Alaska. You can reach out to her office (for appointments etc.) via phone at
(785) 456-4582.
Chanel Irene Marie Ebert is licensed to practice in Alaska (license number 188490) 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 1922449255.
Healthcare Provider's Profile
| Full Name | Chanel Irene Marie Ebert |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 24413 W Willow Creek Pkwy, Willow, Alaska |
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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: 1922449255
- Provider Enumeration Date: 07/15/2013
- Last Update Date: 06/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537387261
- Enrollment ID: I20230213002012
Medical Identifiers
Medical identifiers for Chanel Irene Marie Ebert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922449255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 188490 (Alaska) | 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. Chanel Irene Marie Ebert allows following entities to bill medicare on her behalf.
| Provider Name | Select Physical Therapy Holdings Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1699743484
PECOS PAC ID: 9537076401
Enrollment ID: O20151117000542 |
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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. Chanel Irene Marie Ebert 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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Chanel Irene Marie Ebert, PT, DPT
Po Box 924,
Willow, AK 99688-0924
Ph: (785) 456-4582 | Chanel Irene Marie Ebert, PT, DPT
24413 W Willow Creek Pkwy,
Willow, AK 99688
Ph: (785) 456-4582 |
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