Martina N/a Mikulic, DPT in Willard, MO - Medicare Physical Therapist Provider

Martina N/a Mikulic, DPT is a medicare enrolled "Physical Therapist" provider in Willard, Missouri. Her current practice location is 304 E Jackson St Ste 2f, Willard, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 221-4667.

Martina N/a Mikulic is licensed to practice in Missouri (license number 2024025501) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659040269.

Contact Information

	Martina N/a Mikulic, DPT
	304 E Jackson St Ste 2f, Willard, MO 65781-9472
	(417) 221-4667
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Martina N/a Mikulic
Gender	Female
Speciality	Physical Therapist
Location	304 E Jackson St Ste 2f, Willard, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659040269
Provider Enumeration Date: 09/08/2021
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 5496153090
Enrollment ID: I20211012003488

Medical Identifiers

Medical identifiers for Martina N/a Mikulic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659040269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT029692 (Pennsylvania)	Secondary
225100000X	Physical Therapist	2024025501 (Missouri)	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. Martina N/a Mikulic allows following entities to bill medicare on her behalf.

Provider Name	Pivot Physical Therapy Of Pennsylvania Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834

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. Martina N/a Mikulic 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
Martina N/a Mikulic, DPT Po Box 257, Willard, MO 65781-0257 Ph: (417) 221-4667	Martina N/a Mikulic, DPT 304 E Jackson St Ste 2f, Willard, MO 65781-9472 Ph: (417) 221-4667

Reviews and Comments

Physical Therapist in Willard, MO

Austin Evan Kats, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667
Dr. Kala Danielle Sheppard, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 Fax: 417-744-9674
Dakota Lager Pearce, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667
Lauren Alexandra Kelley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Farmer Rd, Willard, MO 65781 Phone: 417-742-0930
Maria S Harless, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Willard R-ii Schools, 407 Farmer Rd, Willard, MO 65781 Phone: 417-742-0930 Fax: 417-742-0841
Carly Lenzen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 304 E Jackson St Ste 2f, Willard, MO 65781 Phone: 417-221-4667 Fax: 417-744-9674

Martina N/a Mikulic, DPT - Medicare Physical Therapist in Willard, MO