Kyle Richard Koppenhaver, DPT in Rochester, MN - Medicare Physical Therapist Provider

Kyle Richard Koppenhaver, DPT is a medicare enrolled "Physical Therapist" provider in Rochester, Minnesota. His current practice location is 200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 284-2511.

Kyle Richard Koppenhaver is licensed to practice in Minnesota (license number 12192) 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 1023778883.

Contact Information

	Kyle Richard Koppenhaver, DPT
	200 1st St Sw, Rochester, MN 55905-0001
	(507) 284-2511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Richard Koppenhaver
Gender	Male
Speciality	Physical Therapist
Location	200 1st St Sw, Rochester, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023778883
Provider Enumeration Date: 12/21/2021
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 9032500806
Enrollment ID: I20220105001600

Medical Identifiers

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

Identifier	Type	State	Issuer
1023778883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12192 (Minnesota)	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 Richard Koppenhaver allows following entities to bill medicare on his behalf.

Provider Name	Mayo Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

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 Richard Koppenhaver 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 Richard Koppenhaver, DPT 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511	Kyle Richard Koppenhaver, DPT 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511

Reviews and Comments

Physical Therapist in Rochester, MN

Melissa S Larson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5067 55th St Nw, Rochester, MN 55901 Phone: 507-292-7070
Sara E Demars, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Nathan J Hellyer, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Jean C Weland, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Jade Patraw Metzger, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Dr. Melanie Dawn Brennan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5335 E Frontage Rd Nw, Suite C, Rochester, MN 55901 Phone: 507-259-7570 Fax: 888-624-3107
Karen Joy Spaeth, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511

Kyle Richard Koppenhaver, DPT - Medicare Physical Therapist in Rochester, MN