Lucie Khadduri, BSPT in Olympia, WA - Medicare Physical Therapy Provider

Lucie Khadduri, BSPT is a medicare enrolled "Physical Therapist" provider in Olympia, Washington. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Providence Health And Services Washington and her current practice location is 3015 Limited Ln Nw, Ste B, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 709-0700.

Lucie Khadduri is licensed to practice in Washington (license number PT00008806) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144305350.

Contact Information

	Lucie Khadduri, BSPT
	3015 Limited Ln Nw, Ste B, Olympia, WA 98502-2638
	(360) 709-0700
	(360) 709-0703

Map and Direction

Healthcare Provider's Profile

Full Name	Lucie Khadduri
Gender	Female
Speciality	Physical Therapy
Experience	24 Years
Location	3015 Limited Ln Nw, Olympia, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lucie Khadduri graduated from medical school in 2000

NPI Data:

NPI Number: 1144305350
Provider Enumeration Date: 10/26/2006
Last Update Date: 07/08/2015

Medicare PECOS Information:

PECOS PAC ID: 4082807193
Enrollment ID: I20101021000838

Medical Identifiers

Medical identifiers for Lucie Khadduri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144305350	NPI	-	NPPES
0291092	Other	WA	DEPT. OF LABOR AND INDUSTRIES
650023899	Other	WA	RAILROAD MEDICARE
8542KH	Other	WA	REGENCE BLUE SHIELD
8336786	Medicaid	WA
8936913	Other	WA	CRIME VICTIMS
160515	Other	WA	DEPT OF LABOR & INDUSTRY
A008	Other	WA	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT00008806 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Washington	6709782600	393

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. Lucie Khadduri allows following entities to bill medicare on her behalf.

Provider Name	Providence Health & Services Washington
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

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. Lucie Khadduri 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
Lucie Khadduri, BSPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223	Lucie Khadduri, BSPT 3015 Limited Ln Nw, Ste B, Olympia, WA 98502-2638 Ph: (360) 709-0700

Reviews and Comments

Physical Therapist in Olympia, WA

Ms. Claire Catherine Orazem, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Lane Ne, Olympia, WA 98506 Phone: 360-493-4995 Fax: 360-493-4470
Mr. Jonathan P. Jove, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Limited Ln Nw Ste 100, Olympia, WA 98502 Phone: 253-350-1869 Fax: 360-292-7247
Laura Ashley Alyas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502 Phone: 360-709-6221
Mrs. Cheryl Bonebrake Howard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3015 Limited Ln Nw, Ste B, Olympia, WA 98502 Phone: 360-709-0700 Fax: 360-709-0703
Angelica Kim, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Ln Ne, Emilie Gamelin Pavilion, 2nd Floor, Olympia, WA 98506 Phone: 360-493-4995
Victoria Pfeifer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2102 Carriage St Sw Ste B, Olympia, WA 98502 Phone: 360-866-0408
Rachael C Loebach, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 360 Lilly Rd Ne, Suite A, Olympia, WA 98506 Phone: 360-486-0640 Fax: 360-486-0641

Lucie Khadduri, BSPT - Medicare Physical Therapist in Olympia, WA