Kendell Eakle, DPT is a medicare enrolled "Physical Therapist" provider in Angwin, California. She went to Tufts University School Of Medicine and graduated in 2023 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Stac Physical Therapy Sonoma Inc and her current practice location is
315 Pine Breeze Dr, Angwin, California. You can reach out to her office (for appointments etc.) via phone at
(317) 522-8871.
Kendell Eakle is licensed to practice in California (license number 305676) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396588604.
Healthcare Provider's Profile
| Full Name | Kendell Eakle |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist In Private Practice |
|---|
| Experience | 3 Years |
|---|
| Location | 315 Pine Breeze Dr, Angwin, California |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kendell Eakle attended and graduated from Tufts University School Of Medicine in 2023
NPI Data:
- NPI Number: 1396588604
- Provider Enumeration Date: 06/14/2024
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173099850
- Enrollment ID: I20260420002427
Medical Identifiers
Medical identifiers for Kendell Eakle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396588604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 305676 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Stac Physical Therapy Sonoma Inc | 6002261088 | 4 |
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. Kendell Eakle allows following entities to bill medicare on her behalf.
| Provider Name | Stac Physical Therapy Sonoma Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1720707136 PECOS PAC ID: 6002261088 Enrollment ID: O20251216002103 |
|---|
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. Kendell Eakle 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 |
Kendell Eakle, DPT 315 Pine Breeze Dr, Angwin, CA 94508-9620 Ph: (317) 522-8871 | Kendell Eakle, DPT 315 Pine Breeze Dr, Angwin, CA 94508-9620 Ph: (317) 522-8871 |
Reviews and Comments