Ethan Kicker, in Pelham, AL - Medicare Physical Therapy Provider

Ethan Kicker, is a medicare enrolled "Physical Therapist" provider in Pelham, Alabama. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Therapy South Pelham, Llc and his current practice location is 3569 Pelham Pkwy Ste 7, Pelham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 664-8404.

Ethan Kicker is licensed to practice in Alabama (license number PTH10221) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124610837.

Contact Information

	Ethan Kicker,
	3569 Pelham Pkwy Ste 7, Pelham, AL 35124-2033
	(205) 664-8404
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Kicker
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	3569 Pelham Pkwy Ste 7, Pelham, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ethan Kicker graduated from medical school in 2020

NPI Data:

NPI Number: 1124610837
Provider Enumeration Date: 02/04/2021
Last Update Date: 02/04/2021

Medicare PECOS Information:

PECOS PAC ID: 8820403785
Enrollment ID: I20210226001978

Medical Identifiers

Medical identifiers for Ethan Kicker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124610837	NPI	-	NPPES
PTH10221	Other	AL	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTH10221 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Therapy South Pelham, Llc	3173523222	7

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. Ethan Kicker allows following entities to bill medicare on his behalf.

Provider Name	Therapy South Pelham, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730286964 PECOS PAC ID: 3173523222 Enrollment ID: O20070113000128

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. Ethan Kicker 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
Ethan Kicker, 2823 Greystone Commercial Blvd, Hoover, AL 35242-2660 Ph: () -	Ethan Kicker, 3569 Pelham Pkwy Ste 7, Pelham, AL 35124-2033 Ph: (205) 664-8404

Reviews and Comments

Physical Therapist in Pelham, AL

Haziel E Perlada, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Cahaba Valley Pkwy, Pelham, AL 35124 Phone: 205-942-6820
P4 Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Applegate Pkwy, Pelham, AL 35124 Phone: 205-719-2420
Mrs. Stasia Lynn Tapley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2685 Pelham Parkway, Suite C, Pelham, AL 35124 Phone: 205-621-6503 Fax: 205-621-6507
Susan Davies, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 245 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124 Phone: 205-942-6820 Fax: 205-942-5627
Kim M Sylvester, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Cahaba Valley Pkwy, Pelham, AL 35124 Phone: 205-942-6820 Fax: 205-942-5884
Mr. Christopher G Jackson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3143 Pelham Pkwy Ste 400, Pelham, AL 35124 Phone: 205-664-3197 Fax: 205-621-5686
Haley Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124 Phone: 205-942-6820

Ethan Kicker, - Medicare Physical Therapist in Pelham, AL