Kelly Colegrove, in Berlin, CT - Medicare Physical Therapist Provider

Kelly Colegrove, is a medicare enrolled "Physical Therapist" provider in Berlin, Connecticut. Her current practice location is 1138 Farmington Ave, Berlin, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 829-5511.

Kelly Colegrove is licensed to practice in Connecticut (license number 012072) 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 1922705508.

Contact Information

	Kelly Colegrove,
	1138 Farmington Ave, Berlin, CT 06037-2242
	(860) 829-5511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Colegrove
Gender	Female
Speciality	Physical Therapist
Location	1138 Farmington Ave, Berlin, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922705508
Provider Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8426422395
Enrollment ID: I20230315001740

Medical Identifiers

Medical identifiers for Kelly Colegrove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922705508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	012072 (Connecticut)	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. Kelly Colegrove allows following entities to bill medicare on her behalf.

Provider Name	Focus Physical Therapy & Sports Medicine Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1780868505 PECOS PAC ID: 6800970500 Enrollment ID: O20080219000587

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. Kelly Colegrove 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
Kelly Colegrove, Po Box 452, Berlin, CT 06037-0452 Ph: (860) 829-5511	Kelly Colegrove, 1138 Farmington Ave, Berlin, CT 06037-2242 Ph: (860) 829-5511

Reviews and Comments

Physical Therapist in Berlin, CT

David Reindl, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511
Central Ct Sports Medicine Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Massirio Dr, Berlin, CT 06037 Phone: 860-829-1300 Fax: 860-829-1388
Mr. Leonard Pare, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Massirio Dr, Berlin, CT 06037 Phone: 860-829-1300 Fax: 860-829-1388
Olivia Tubis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511
Kari Anne Callahan, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 Fax: 860-829-5577
Dallas Peery, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511
Jonathan Maneen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 598 Deming Rd, Berlin, CT 06037 Phone: 203-601-7446

Kelly Colegrove, - Medicare Physical Therapist in Berlin, CT