Dr Mckayla Petersen, PT, DPT in Grafton, ND - Medicare Physical Therapist Provider

Dr Mckayla Petersen, PT, DPT is a medicare enrolled "Physical Therapist" provider in Grafton, North Dakota. Her current practice location is 701 W 6th St, Grafton, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 871-8765.

Dr Mckayla Petersen is licensed to practice in North Dakota (license number 2110) 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 1114454923.

Contact Information

	Dr Mckayla Petersen, PT, DPT
	701 W 6th St, Grafton, ND 58237-1379
	(701) 871-8765
	(701) 352-4410

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mckayla Petersen
Gender	Female
Speciality	Physical Therapist
Location	701 W 6th St, Grafton, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114454923
Provider Enumeration Date: 05/11/2017
Last Update Date: 08/27/2021

Medicare PECOS Information:

PECOS PAC ID: 2365717527
Enrollment ID: I20171013002758

Medical Identifiers

Medical identifiers for Dr Mckayla Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114454923	NPI	-	NPPES
1472555	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2110 (North Dakota)	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. Dr Mckayla Petersen allows following entities to bill medicare on her behalf.

Provider Name	Life Skills And Transition Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558427708 PECOS PAC ID: 7113986159 Enrollment ID: O20041006000563

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. Dr Mckayla Petersen 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
Dr Mckayla Petersen, PT, DPT 701 W 6th St, Grafton, ND 58237-1379 Ph: (701) 352-4552	Dr Mckayla Petersen, PT, DPT 701 W 6th St, Grafton, ND 58237-1379 Ph: (701) 871-8765

Reviews and Comments

Physical Therapist in Grafton, ND

Lon Kratochvil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 164 W 13th St, Grafton, ND 58237 Phone: 701-352-9398 Fax: 701-352-9382
Makenzie Leigh Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 E 12th St, Grafton, ND 58237 Phone: 701-379-0125
Upper Valley Special Education Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 Cooper Ave, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188
Katerina M Hoime, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6 E 12th St, Grafton, ND 58237 Phone: 701-379-0125
Mrs. Pam Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 W 6th St, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188
Jordan Miller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 164 W 13th St, Grafton, ND 58237 Phone: 701-352-9398 Fax: 701-352-9382

Dr Mckayla Petersen, PT, DPT - Medicare Physical Therapist in Grafton, ND