Kevin Fetsch, - Medicare Physical Therapist in Columbia, MO

Kevin Fetsch, is a medicare enrolled "Physical Therapist" provider in Columbia, Missouri. His current practice location is 3301 Berrywood Dr Ste 204, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 288-7422.

Kevin Fetsch is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265056949.

Contact Information

Kevin Fetsch,
3301 Berrywood Dr Ste 204,
Columbia, MO 65201-6517
(636) 288-7422
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKevin Fetsch
GenderMale
SpecialityPhysical Therapist
Location3301 Berrywood Dr Ste 204, Columbia, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265056949
  • Provider Enumeration Date: 05/29/2020
  • Last Update Date: 05/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759704158
  • Enrollment ID: I20200701002627

Medical Identifiers

Medical identifiers for Kevin Fetsch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265056949NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))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. Kevin Fetsch allows following entities to bill medicare on his behalf.
Provider NameCentral Missouri Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1558436592
PECOS PAC ID: 6901870187
Enrollment ID: O20150915001876
Provider NameExercise Therapy Consultants Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962414250
PECOS PAC ID: 1557269255
Enrollment ID: O20170929003392

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. Kevin Fetsch 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 AddressPractice Location Address
Kevin Fetsch,
1414 Lowe St,
Columbia, MO 65203-2166

Ph: (636) 288-7422
Kevin Fetsch,
3301 Berrywood Dr Ste 204,
Columbia, MO 65201-6517

Ph: (636) 288-7422

Reviews and Comments


Physical Therapist in Columbia, MO

Kathy Elaine Maxey, PT, ATC
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Medicare: Not Enrolled in Medicare
Practice Location: 1100 Club Village Dr, Suite 103, Columbia, MO 65203
Phone: 573-256-2777    Fax: 573-256-2764
Carly Zimmerman,
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Medicare: Not Enrolled in Medicare
Practice Location: 303 N Keene St, Ste 102, Columbia, MO 65201
Phone: 573-443-0225    
Rachel Muenks, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3301 Berrywood Dr, Columbia, MO 65201
Phone: 573-449-8771    
Peak Performance Physical Therapy & Sports Medicine
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3301 Berrywood Dr, Suite 204, Columbia, MO 65201
Phone: 573-449-8771    Fax: 573-449-6563
Ms. Miranda L Bourgeois, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3301 Berrywood Dr, Suite 204, Columbia, MO 65201
Phone: 573-449-6082    
Mrs. Beth Kinser Lewis, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 200 N Keene St Ste 102, Columbia, MO 65201
Phone: 573-874-0001    Fax: 573-449-3278
Noah Brayden Cunningham, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 10 W Nifong Blvd Ste 121, Columbia, MO 65203
Phone: 573-442-5268    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.