Kelly Haller-gilmour, PT in Newington, CT - Medicare Physical Therapist Provider

Kelly Haller-gilmour, PT is a medicare enrolled "Physical Therapist" provider in Newington, Connecticut. Her current practice location is 505 Willard Ave Ste 1, Newington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 665-8265.

Kelly Haller-gilmour is licensed to practice in * (Not Available) (license number ) 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 1194918763.

Contact Information

	Kelly Haller-gilmour, PT
	505 Willard Ave Ste 1, Newington, CT 06111-2630
	(860) 665-8265
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Haller-gilmour
Gender	Female
Speciality	Physical Therapist
Location	505 Willard Ave Ste 1, Newington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194918763
Provider Enumeration Date: 08/27/2007
Last Update Date: 04/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3072922749
Enrollment ID: I20210510001279

Medical Identifiers

Medical identifiers for Kelly Haller-gilmour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194918763	NPI	-	NPPES
4309	Other	CT	LICENSE#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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 Haller-gilmour allows following entities to bill medicare on her behalf.

Provider Name	Ptsma Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494

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 Haller-gilmour 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 Haller-gilmour, PT 59 Olde Hall Rd, Hebron, CT 06248-1209 Ph: () -	Kelly Haller-gilmour, PT 505 Willard Ave Ste 1, Newington, CT 06111-2630 Ph: (860) 665-8265

Reviews and Comments

Physical Therapist in Newington, CT

4x4 Fitness, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Jacobs Ln, Newington, CT 06111 Phone: 860-597-2998
Kayla Gomes, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Willard Ave, Newington, CT 06111 Phone: 860-666-6951
Kyle Wolf, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 64 Market Sq, Newington, CT 06111 Phone: 860-881-2928
Brian Pawlow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 Phone: 860-667-5449 Fax: 860-667-8416
Sean Gray, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 Phone: 860-667-5449 Fax: 860-667-8416
Marci Zannotti, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 Phone: 860-667-5449 Fax: 860-667-8416
Dana Edwards, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 Phone: 860-667-5449 Fax: 860-667-8416

Kelly Haller-gilmour, PT - Medicare Physical Therapist in Newington, CT