Dylan Richard Moen, DPT, ATC in St Louis Park, MN - Medicare Physical Therapist Provider

Dylan Richard Moen, DPT, ATC is a medicare enrolled "Physical Therapist" provider in St Louis Park, Minnesota. His current practice location is 8223 Highway 7, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 838-0660.

Dylan Richard Moen is licensed to practice in Minnesota (license number 10918) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457860348.

Contact Information

	Dylan Richard Moen, DPT, ATC
	8223 Highway 7, St Louis Park, MN 55426-3904
	(952) 838-0660
	(952) 314-5434

Map and Direction

Healthcare Provider's Profile

Full Name	Dylan Richard Moen
Gender	Male
Speciality	Physical Therapist
Location	8223 Highway 7, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457860348
Provider Enumeration Date: 09/24/2017
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5395001861
Enrollment ID: I20171116000860

Medical Identifiers

Medical identifiers for Dylan Richard Moen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457860348	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10918 (Minnesota)	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. Dylan Richard Moen allows following entities to bill medicare on his behalf.

Provider Name	Infinite Health Collaborative Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574

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. Dylan Richard Moen 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
Dylan Richard Moen, DPT, ATC 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600	Dylan Richard Moen, DPT, ATC 8223 Highway 7, St Louis Park, MN 55426-3904 Ph: (952) 838-0660

Reviews and Comments

Physical Therapist in St Louis Park, MN

Mary Katherine Kosanda, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6014
Sarah Sween Ramer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300
Jennifer A Deutz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Nicole Williams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3912 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-835-4512 Fax: 888-425-0398
Angela Marie Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Kathy Ann Kurdelmeier, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5486
Jessica Elizabeth Wahlstrom, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 992-993-2773

Dylan Richard Moen, DPT, ATC - Medicare Physical Therapist in St Louis Park, MN