Kennon Mark Little, is a medicare enrolled "Physical Therapist" provider in Attica, Indiana. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Physical Therapist In Private Practice. His current practice location is
1111 E Main St, Attica, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 299-3259.
Kennon Mark Little is licensed to practice in Indiana (license number 05014715A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740042266.
Healthcare Provider's Profile
| Full Name | Kennon Mark Little |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 4 Years |
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| Location | 1111 E Main St, Attica, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kennon Mark Little graduated from medical school in 2022
NPI Data:
- NPI Number: 1740042266
- Provider Enumeration Date: 01/29/2024
- Last Update Date: 02/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729519269
- Enrollment ID: I20241223002422
Medical Identifiers
Medical identifiers for Kennon Mark Little such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740042266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 05014715A (Indiana) | 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. Kennon Mark Little allows following entities to bill medicare on his behalf.
| Provider Name | Little Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1326801119 PECOS PAC ID: 7810428356 Enrollment ID: O20241008001591 |
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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. Kennon Mark Little 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 |
Kennon Mark Little, 2251 E 50 S, Attica, IN 47918-7834 Ph: () - | Kennon Mark Little, 1111 E Main St, Attica, IN 47918-1949 Ph: (765) 299-3259 |
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