Kyle Goodwin, DPT in Pasadena, MD - Medicare Physical Therapy Provider

Kyle Goodwin, DPT is a medicare enrolled "Physical Therapist" provider in Pasadena, Maryland. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Tidewater Physical Therapy Llc and his current practice location is 3708 Mountain Rd Ste D, Pasadena, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 255-4833.

Kyle Goodwin is licensed to practice in Maryland (license number 27753) 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 1629612429.

Contact Information

	Kyle Goodwin, DPT
	3708 Mountain Rd Ste D, Pasadena, MD 21122-2025
	(410) 255-4833
	(410) 255-4834

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Goodwin
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	3708 Mountain Rd Ste D, Pasadena, Maryland
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:

Kyle Goodwin graduated from medical school in 2019

NPI Data:

NPI Number: 1629612429
Provider Enumeration Date: 11/05/2019
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 1759714884
Enrollment ID: I20210322000272

Medical Identifiers

Medical identifiers for Kyle Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629612429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	27753 (Maryland)	Primary
225100000X	Physical Therapist	2305214077 (Virginia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tidewater Physical Therapy Llc	6406759281	187

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. Kyle Goodwin allows following entities to bill medicare on his behalf.

Provider Name	Tidewater Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029

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. Kyle Goodwin 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
Kyle Goodwin, DPT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714	Kyle Goodwin, DPT 3708 Mountain Rd Ste D, Pasadena, MD 21122-2025 Ph: (410) 255-4833

Reviews and Comments

Physical Therapist in Pasadena, MD

Brian Leimkuhler, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3708 Mountain Rd Ste D, Pasadena, MD 21122 Phone: 410-255-4833 Fax: 410-255-4834
Samantha Meyer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3708 Mountain Rd, Ste D, Pasadena, MD 21122 Phone: 410-255-4833
Zachary Roy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8028 Ritchie Hwy Ste 120, Pasadena, MD 21122 Phone: 410-590-8750
Mrs. Gretchen Elisa Michaels, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8131 Ritchie Hwy, Suite E, Pasadena, MD 21122 Phone: 410-590-4360 Fax: 410-590-4365
Lhmg Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8109 Ritchie Hwy, Suite 600, Pasadena, MD 21122 Phone: 410-553-3515 Fax: 410-553-3519
Jennifer Wenger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8116 Ritchie Hwy, Pasadena, MD 21122 Phone: 443-261-2220
Progressive Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8141 Ritchie Hwy Ste A, Pasadena, MD 21122 Phone: 443-906-0181 Fax: 443-901-3877

Kyle Goodwin, DPT - Medicare Physical Therapist in Pasadena, MD