Kyle Pulford, in Alexandria, VA - Medicare Physical Therapist Provider

Kyle Pulford, is a medicare enrolled "Physical Therapist" provider in Alexandria, Virginia. His current practice location is 4613 Duke St Ste B, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 751-1052.

Kyle Pulford is licensed to practice in Massachusetts (license number 23926) 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 1508341587.

Contact Information

	Kyle Pulford,
	4613 Duke St Ste B, Alexandria, VA 22304-2559
	(703) 751-1052
	(703) 751-1053

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Pulford
Gender	Male
Speciality	Physical Therapist
Location	4613 Duke St Ste B, Alexandria, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508341587
Provider Enumeration Date: 09/26/2018
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID: 9133471881
Enrollment ID: I20210427000250

Medical Identifiers

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

Identifier	Type	State	Issuer
1508341587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305214202 (Virginia)	Secondary
225100000X	Physical Therapist	23926 (Massachusetts)	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. Kyle Pulford allows following entities to bill medicare on his behalf.

Provider Name	Professional Sportscare & Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20160418000007

Provider Name	Ivyrehab Sept, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240212002520

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 Pulford 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 Pulford, 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714	Kyle Pulford, 4613 Duke St Ste B, Alexandria, VA 22304-2559 Ph: (703) 751-1052

Reviews and Comments

Physical Therapist in Alexandria, VA

Danielle Leshinsky, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4613 Duke St Ste B, Alexandria, VA 22304 Phone: 703-751-1052 Fax: 703-751-1053
Natalie Lauren De Selding, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Reinekers Ln Ste Gr4, Alexandria, VA 22314 Phone: 703-299-3111
Rabab Shah, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6856 Richmond Hwy, Alexandria, VA 22306 Phone: 571-348-1201
Karen Godley, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6910 Richmond Hwy Ste 200, Alexandria, VA 22306 Phone: 703-765-7700
Ms. Carolyn Haugh Byron, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8400 Radford Ave Ste 100, Alexandria, VA 22309 Phone: 571-481-4547 Fax: 571-551-6419
Breanna Nicole Mcdavid, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1725 Duke St, Gr04, Alexandria, VA 22314 Phone: 703-299-3111
Chelsea Kemlage, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Ln, Suite 204, Alexandria, VA 22310 Phone: 703-810-5214 Fax: 703-810-5494

Kyle Pulford, - Medicare Physical Therapist in Alexandria, VA