Diane Fletcher Klos, PT in La Crosse, WI - Medicare Physical Therapy Provider

Diane Fletcher Klos, PT is a medicare enrolled "Physical Therapist" provider in La Crosse, Wisconsin. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Dynamic Pt Llc, Roberts And Associates Physical Therapy Sc, Impact Physical Therapy Llc and her current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Diane Fletcher Klos is licensed to practice in Wisconsin (license number 3100) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609871508.

Contact Information

	Diane Fletcher Klos, PT
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Fletcher Klos
Gender	Female
Speciality	Physical Therapy
Experience	39 Years
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Diane Fletcher Klos graduated from medical school in 1985

NPI Data:

NPI Number: 1609871508
Provider Enumeration Date: 06/16/2005
Last Update Date: 09/29/2009

Medicare PECOS Information:

PECOS PAC ID: 5193626422
Enrollment ID: I20040119000528

Medical Identifiers

Medical identifiers for Diane Fletcher Klos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609871508	NPI	-	NPPES
40121600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3100 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dynamic Pt Llc	3779948302	6
Roberts And Associates Physical Therapy Sc	5890724041	8
Impact Physical Therapy Llc	8325380280	5

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. Diane Fletcher Klos allows following entities to bill medicare on her behalf.

Provider Name	Roberts & Associates Physical Therapy Sc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346342839 PECOS PAC ID: 5890724041 Enrollment ID: O20050808000699

Provider Name	Impact Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871066233 PECOS PAC ID: 8325380280 Enrollment ID: O20190425002188

Provider Name	Dynamic Pt Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245948389 PECOS PAC ID: 3779948302 Enrollment ID: O20230503001644

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. Diane Fletcher Klos 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
Diane Fletcher Klos, PT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Diane Fletcher Klos, PT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Physical Therapist in La Crosse, WI

Thomas S Holland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Hanni R Cowley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Amy Ruth Juel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. John Frederick Greany, PT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Park Lane Dr, La Crosse, WI 54601 Phone: 608-519-9373 Fax: 608-790-9477
Julie A. Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Charlene M Deters, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Samuel Wenzlaff, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Diane Fletcher Klos, PT - Medicare Physical Therapist in La Crosse, WI