Ketki Ajit Raktavan, MPT in Glenn Dale, MD - Medicare Physical Therapist In Private Practice Provider

Ketki Ajit Raktavan, MPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Glenn Dale, Maryland. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Athletic And Therapeutic Institute Of Bourbonnais, Llc, Athletic And Therapeutic Institute Of Naperville, Llc and her current practice location is 12200 Annapolis Rd Ste 119, Glenn Dale, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 805-8005.

Ketki Ajit Raktavan is licensed to practice in Maryland (license number 27954) 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 1992303820.

Contact Information

	Ketki Ajit Raktavan, MPT
	12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182
	(301) 805-8005
	(301) 805-5004

Map and Direction

Healthcare Provider's Profile

Full Name	Ketki Ajit Raktavan
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	8 Years
Location	12200 Annapolis Rd Ste 119, Glenn Dale, Maryland
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:

Ketki Ajit Raktavan graduated from medical school in 2018

NPI Data:

NPI Number: 1992303820
Provider Enumeration Date: 10/13/2020
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 2668892944
Enrollment ID: I20210927000126

Medical Identifiers

Medical identifiers for Ketki Ajit Raktavan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992303820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	27954 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletic And Therapeutic Institute Of Bourbonnais, Llc	4183692577	137
Athletic And Therapeutic Institute Of Naperville, Llc	8325014020	224

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. Ketki Ajit Raktavan allows following entities to bill medicare on her behalf.

Provider Name	Athletic And Therapeutic Institute Of Naperville, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494

Provider Name	Athletic And Therapeutic Institute Of Bourbonnais, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220

Provider Name	Paxxon Healthcare Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412

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. Ketki Ajit Raktavan 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
Ketki Ajit Raktavan, MPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Ketki Ajit Raktavan, MPT 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 Ph: (301) 805-8005

Reviews and Comments

Physical Therapist in Glenn Dale, MD

Nicole N Kabia-smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12200 Annapolis Rd Ste 123, Glenn Dale, MD 20769 Phone: 301-364-9292 Fax: 301-552-9743
Robert Ninan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 305, Glenn Dale, MD 20769 Phone: 301-853-0093 Fax: 301-853-0096
Rachael Omole, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769 Phone: 301-805-5006
Cecilia Esther Campos, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370
Ikechukwu Ekwunife, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd, Glenn Dale, MD 20769 Phone: 301-352-8370
Evidence Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 Fax: 301-352-8372
Joann Teh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8371 Fax: 877-828-2060

Ketki Ajit Raktavan, MPT - Medicare Physical Therapist in Glenn Dale, MD