Lyle Melvin Andersen, PT in Modesto, CA - Medicare Physical Therapy Provider

Lyle Melvin Andersen, PT is a medicare enrolled "Physical Therapist" provider in Modesto, California. He graduated from medical school in 1969 and has 55 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Andersen Physical Therapy Inc and his current practice location is 1917 Coffee Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 549-4626.

Lyle Melvin Andersen is licensed to practice in California (license number PT5278) 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 1265413918.

Contact Information

	Lyle Melvin Andersen, PT
	1917 Coffee Rd, Modesto, CA 95355-2704
	(209) 549-4626
	(209) 549-4625

Map and Direction

Healthcare Provider's Profile

Full Name	Lyle Melvin Andersen
Gender	Male
Speciality	Physical Therapy
Experience	55 Years
Location	1917 Coffee Rd, Modesto, California
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:

Lyle Melvin Andersen graduated from medical school in 1969

NPI Data:

NPI Number: 1265413918
Provider Enumeration Date: 11/09/2005
Last Update Date: 04/17/2017

Medicare PECOS Information:

PECOS PAC ID: 4587611157
Enrollment ID: I20071108000328

Medical Identifiers

Medical identifiers for Lyle Melvin Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265413918	NPI	-	NPPES
00PT52780	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5278 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Andersen Physical Therapy Inc	3678520244	10

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. Lyle Melvin Andersen allows following entities to bill medicare on his behalf.

Provider Name	Andersen Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225029630 PECOS PAC ID: 3678520244 Enrollment ID: O20050610000843

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. Lyle Melvin Andersen 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
Lyle Melvin Andersen, PT 1917 Coffee Rd, Modesto, CA 95355-2704 Ph: (209) 549-4626	Lyle Melvin Andersen, PT 1917 Coffee Rd, Modesto, CA 95355-2704 Ph: (209) 549-4626

Reviews and Comments

Physical Therapist in Modesto, CA

Ms. Manpreet Kaur Sheabat, PA Physical Therapist Medicare: Medicare Enrolled Practice Location: 2401 E Orangeburg Ave Ste 330, Modesto, CA 95355 Phone: 209-726-7381
Mr. Richard Russell Cox, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 17th St, Ste 202, Modesto, CA 95354 Phone: 209-572-4263 Fax: 209-572-0132
Core Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 122 W Granger Ave, Modesto, CA 95350 Phone: 209-522-2673 Fax: 209-522-2955
Kathleen M Clarke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 830 Scenic Dr, Modesto, CA 95350 Phone: 209-558-7483
Mr. Scott Leyton Hattersley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd., Modesto, CA 95356 Phone: 209-735-4043 Fax: 209-735-4091
Amy Michelle Halley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-4039
Sarah Tillay, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4318 Spyres Way, Modesto, CA 95356 Phone: 209-576-0710

Lyle Melvin Andersen, PT - Medicare Physical Therapist in Modesto, CA