Kelli Jean Kenser, DPT in Kellogg, ID - Medicare Physical Therapist Provider

Kelli Jean Kenser, DPT is a medicare enrolled "Physical Therapist" provider in Kellogg, Idaho. Her current practice location is 740 Mckinley Ave, Kellogg, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 783-3015.

Kelli Jean Kenser is licensed to practice in Idaho (license number PT-7488) 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 1548075443.

Contact Information

	Kelli Jean Kenser, DPT
	740 Mckinley Ave, Kellogg, ID 83837-2693
	(208) 783-3015
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Jean Kenser
Gender	Female
Speciality	Physical Therapist
Location	740 Mckinley Ave, Kellogg, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548075443
Provider Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025

Medicare PECOS Information:

PECOS PAC ID: 6204356462
Enrollment ID: I20250219001106

Medical Identifiers

Medical identifiers for Kelli Jean Kenser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548075443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-7488 (Idaho)	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. Kelli Jean Kenser allows following entities to bill medicare on her behalf.

Provider Name	Shellman Inc Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326050253 PECOS PAC ID: 4981592938 Enrollment ID: O20040310000340

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. Kelli Jean Kenser 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
Kelli Jean Kenser, DPT 1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634 Ph: (208) 783-3015	Kelli Jean Kenser, DPT 740 Mckinley Ave, Kellogg, ID 83837-2693 Ph: (208) 783-3015

Reviews and Comments

Physical Therapist in Kellogg, ID

Tara Marie Lodi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1625
Rusty M Wood, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 704 Mckinley Avenue, Kellogg, ID 83837 Phone: 208-783-3015
Cory I Lewis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-457-9125
Kellogg Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-3015 Fax: 208-783-3015
Sheri L. Zumstein, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1610
Lisa Joann Darst, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Mountain Valley Care & Rehabilitation Center, Kellogg, ID 83837 Phone: 208-784-1283 Fax: 208-784-0151

Kelli Jean Kenser, DPT - Medicare Physical Therapist in Kellogg, ID