Kelly Matisi, DPT in Richmond, RI - Medicare Physical Therapist Provider

Kelly Matisi, DPT is a medicare enrolled "Physical Therapist" provider in Richmond, Rhode Island. Her current practice location is 12 Stilson Rd, Richmond, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 726-7100.

Kelly Matisi is licensed to practice in Rhode Island (license number PT03627) 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 1760177786.

Contact Information

	Kelly Matisi, DPT
	12 Stilson Rd, Richmond, RI 02898-1026
	(401) 726-7100
	(401) 539-4601

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Matisi
Gender	Female
Speciality	Physical Therapist
Location	12 Stilson Rd, Richmond, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760177786
Provider Enumeration Date: 04/06/2023
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 8527423896
Enrollment ID: I20230421000220

Medical Identifiers

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

Identifier	Type	State	Issuer
1760177786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT03627 (Rhode Island)	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 Matisi allows following entities to bill medicare on her behalf.

Provider Name	Silver Fern Practice Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1851472914 PECOS PAC ID: 1658266515 Enrollment ID: O20120813000580

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 Matisi 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 Matisi, DPT 4 Richmond Sq Ste 200, Providence, RI 02906-5117 Ph: (401) 433-4172	Kelly Matisi, DPT 12 Stilson Rd, Richmond, RI 02898-1026 Ph: (401) 726-7100

Reviews and Comments

Physical Therapist in Richmond, RI

Leanne Monteiro, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12 Stilson Rd, Richmond, RI 02898 Phone: 401-539-4600 Fax: 401-539-4601
Kathleen Rafanelli, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12 Stilson Rd, Richmond, RI 02898 Phone: 401-539-4600 Fax: 401-539-4601
Lauren Elizabeth Shanley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12 Stilson Rd, Richmond, RI 02898 Phone: 401-726-7100
Kaitlin Liese, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Shadow Ridge Dr, Richmond, RI 02812 Phone: 401-213-6529
Kathryn Marie Sacco, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12 Stilson Rd, Richmond, RI 02898 Phone: 401-726-7100 Fax: 401-722-9386
Eli Espanol, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12 Stilson Rd, Richmond, RI 02898 Phone: 401-726-7100
Mr. Andrew Horton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12 Stilson Rd, Richmond, RI 02898 Phone: 401-726-7100 Fax: 401-722-9386

Kelly Matisi, DPT - Medicare Physical Therapist in Richmond, RI