Kyle Johnson, DPT is a medicare enrolled "Physical Therapist" provider in Poplar, Wisconsin. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Center For Muscle And Joint Therapy Inc and his current practice location is
9675 E Elm Rd, Poplar, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 364-8565.
Kyle Johnson is licensed to practice in Wisconsin (license number 15548-24) 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 1841963998.
Healthcare Provider's Profile
| Full Name | Kyle Johnson |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 5 Years |
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| Location | 9675 E Elm Rd, Poplar, Wisconsin |
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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:
- Kyle Johnson graduated from medical school in 2021
NPI Data:
- NPI Number: 1841963998
- Provider Enumeration Date: 07/26/2021
- Last Update Date: 07/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052717865
- Enrollment ID: I20210902001124
Medical Identifiers
Medical identifiers for Kyle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841963998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 15548-24 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Center For Muscle And Joint Therapy Inc | 1355433640 | 3 |
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 Johnson allows following entities to bill medicare on his behalf.
| Provider Name | Center For Muscle & Joint Therapy Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558462432 PECOS PAC ID: 1355433640 Enrollment ID: O20081114000472 |
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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. Kyle Johnson 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 Johnson, DPT 1000 Midway Rd, Menasha, WI 54952-1116 Ph: (920) 257-2006 | Kyle Johnson, DPT 9675 E Elm Rd, Poplar, WI 54864-9102 Ph: (715) 364-8565 |
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