Kennedy Jo Kroeckel, in Defiance, OH - Medicare Physical Therapist Provider

Kennedy Jo Kroeckel, is a medicare enrolled "Physical Therapist" provider in Defiance, Ohio. Her current practice location is 851 S Clinton St, Defiance, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 785-4415.

Kennedy Jo Kroeckel is licensed to practice in Ohio (license number 020493) 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 1366133894.

Contact Information

	Kennedy Jo Kroeckel,
	851 S Clinton St, Defiance, OH 43512-2770
	(419) 785-4415
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kennedy Jo Kroeckel
Gender	Female
Speciality	Physical Therapist
Location	851 S Clinton St, Defiance, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366133894
Provider Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 7315309556
Enrollment ID: I20230818003347

Medical Identifiers

Medical identifiers for Kennedy Jo Kroeckel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366133894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	020493 (Ohio)	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. Kennedy Jo Kroeckel allows following entities to bill medicare on her behalf.

Provider Name	Defiance Physical Therapy And Sports Medicine, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023458270 PECOS PAC ID: 2466696380 Enrollment ID: O20130916000524

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. Kennedy Jo Kroeckel 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
Kennedy Jo Kroeckel, 851 S Clinton St, Defiance, OH 43512-2770 Ph: (419) 785-4415	Kennedy Jo Kroeckel, 851 S Clinton St, Defiance, OH 43512-2770 Ph: (419) 785-4415

Reviews and Comments

Physical Therapist in Defiance, OH

Defiance Physical Therapy And Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 E 2nd St, Defiance, OH 43512 Phone: 419-575-0281
Megan Elizabeth Vogelsong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-785-4415
Ms. Brenda J Keck, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 Fax: 419-783-3269
Kristiane Grime, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-783-3309
Mrs. Renae Helen Schlachter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-782-8808 Fax: 419-782-8148
Ryan C Crandall, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-782-8808 Fax: 419-782-8148
Logan Bailey, Physical Therapist Medicare: Medicare Enrolled Practice Location: 851 S Clinton St, Defiance, OH 43512 Phone: 419-785-4415

Kennedy Jo Kroeckel, - Medicare Physical Therapist in Defiance, OH