Mrs Colleen Dee Kostiak, PT in Clarks Summit, PA - Medicare Physical Therapist Provider

Mrs Colleen Dee Kostiak, PT is a medicare enrolled "Physical Therapist" provider in Clarks Summit, Pennsylvania. Her current practice location is 150 Edella Rd, Clarks Summit, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 585-2494.

Mrs Colleen Dee Kostiak is licensed to practice in Pennsylvania (license number PT017714) 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 1912022823.

Contact Information

	Mrs Colleen Dee Kostiak, PT
	150 Edella Rd, Clarks Summit, PA 18411-1628
	(570) 585-2494
	(570) 587-3308

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Colleen Dee Kostiak
Gender	Female
Speciality	Physical Therapist
Location	150 Edella Rd, Clarks Summit, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912022823
Provider Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7214337633
Enrollment ID: I20210607001702

Medical Identifiers

Medical identifiers for Mrs Colleen Dee Kostiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912022823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT017714 (Pennsylvania)	Primary
225100000X	Physical Therapist	17493 (Maryland)	Secondary

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. Mrs Colleen Dee Kostiak allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20040220000258

Provider Name	Mobile Therapy Services
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245683648 PECOS PAC ID: 4183919129 Enrollment ID: O20160830000453

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. Mrs Colleen Dee Kostiak 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
Mrs Colleen Dee Kostiak, PT 2744 Dark Region Rd., Clarks Summit, PA 18411-9633 Ph: (570) 587-2777	Mrs Colleen Dee Kostiak, PT 150 Edella Rd, Clarks Summit, PA 18411-1628 Ph: (570) 585-2494

Reviews and Comments

Physical Therapist in Clarks Summit, PA

Erica Lynn Bednarz, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Scenic Drive, Clarks Summit, PA 18411 Phone: 570-259-6786
Kerry Duffy Joyce, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 539 S State St, Clarks Summit, PA 18411 Phone: 570-586-4186 Fax: 570-587-1058
Erin Kathleen Beck, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 718 S State St, Clarks Summit, PA 18411 Phone: 570-586-2222 Fax: 570-585-1321
Body Dynamic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 E Grove St, Clarks Summit, PA 18411 Phone: 570-586-1188 Fax: 570-585-7323
Casey Wrobel, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 115 E Grove St, Clarks Summit, PA 18411 Phone: 570-335-3993
Mrs. Ariana Brutico, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 E. Grove St., Clarks Summit, PA 18411 Phone: 570-586-1188 Fax: 570-585-7323
Kailey Elizabeth Rothenberger, DR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1157 Lackawanna Trl, Clarks Summit, PA 18411 Phone: 570-586-7764

Mrs Colleen Dee Kostiak, PT - Medicare Physical Therapist in Clarks Summit, PA