Kyle Hietpas, PT, DPT in San Francisco, CA - Medicare Physical Therapist In Private Practice Provider

Kyle Hietpas, PT, DPT is a medicare enrolled "Physical Therapist" provider in San Francisco, California. He graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Select Cal Physical Therapy Pc and his current practice location is 3129 Vicente St, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 661-1057.

Kyle Hietpas is licensed to practice in California (license number 307572) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1376308908.

Contact Information

	Kyle Hietpas, PT, DPT
	3129 Vicente St, San Francisco, CA 94116-2740
	(415) 661-1057
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Hietpas
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	2 Years
Location	3129 Vicente St, San Francisco, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyle Hietpas graduated from medical school in 2023

NPI Data:

NPI Number: 1376308908
Provider Enumeration Date: 02/13/2024
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 7012453822
Enrollment ID: I20250325003739

Medical Identifiers

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

Identifier	Type	State	Issuer
1376308908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	16648-024 (Wisconsin)	Secondary
225100000X	Physical Therapist	PTL27686 (Massachusetts)	Secondary
225100000X	Physical Therapist	CP029386T (Tennessee)	Secondary
225100000X	Physical Therapist	PT-6008 (Hawaii)	Secondary
225100000X	Physical Therapist	CP034963T (Arizona)	Secondary
225100000X	Physical Therapist	307572 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Select Cal Physical Therapy Pc	4789070699	130

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 Hietpas allows following entities to bill medicare on his behalf.

Provider Name	Select Cal Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572

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 Hietpas 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 Hietpas, PT, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Kyle Hietpas, PT, DPT 3129 Vicente St, San Francisco, CA 94116-2740 Ph: (415) 661-1057

Reviews and Comments

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Kyle Hietpas, PT, DPT - Medicare Physical Therapist in San Francisco, CA