Mrs Kimberly Sue Matthews, MPT in Granger, IN - Medicare Physical Therapist Provider

Mrs Kimberly Sue Matthews, MPT is a medicare enrolled "Physical Therapist" provider in Granger, Indiana. Her current practice location is 6330 N Fir Rd, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 977-8035.

Mrs Kimberly Sue Matthews is licensed to practice in Indiana (license number 05012697A) 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 1417145319.

Contact Information

	Mrs Kimberly Sue Matthews, MPT
	6330 N Fir Rd, Granger, IN 46530-4753
	(574) 977-8035
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Sue Matthews
Gender	Female
Speciality	Physical Therapist
Location	6330 N Fir Rd, Granger, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417145319
Provider Enumeration Date: 10/05/2007
Last Update Date: 02/22/2022

Medicare PECOS Information:

PECOS PAC ID: 3274620430
Enrollment ID: I20180405000273

Medical Identifiers

Medical identifiers for Mrs Kimberly Sue Matthews such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417145319	NPI	-	NPPES
1417145319	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	L1609583 (Michigan)	Secondary
225100000X	Physical Therapist	PT018989 (Pennsylvania)	Secondary
225100000X	Physical Therapist	05012697A (Indiana)	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. Mrs Kimberly Sue Matthews allows following entities to bill medicare on her behalf.

Provider Name	Athletic And Therapeutic Institute Of Naperville, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023313194 PECOS PAC ID: 8325014020 Enrollment ID: O20110628000064

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174275283 PECOS PAC ID: 2365359932 Enrollment ID: O20110708000322

Provider Name	Advanced Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030

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 Kimberly Sue Matthews 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 Kimberly Sue Matthews, MPT 336 E 100 S, Valparaiso, IN 46383-9520 Ph: (310) 692-0670	Mrs Kimberly Sue Matthews, MPT 6330 N Fir Rd, Granger, IN 46530-4753 Ph: (574) 977-8035

Reviews and Comments

Physical Therapist in Granger, IN

Mrs. Payal Koul-kumar, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12655 State Road 23, Granger, IN 46530 Phone: 574-343-6427
Beacon Medical Group, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3221 Beacon Parkway, Suite B, Granger, IN 46530 Phone: 574-647-1700 Fax: 574-291-3351
Brett L Buda, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935
Mr. Randall Glenn Brooks, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935
Emilia M Kareem, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935
Megan Martin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-5790 Fax: 574-647-5792
Katelyn Kush, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930

Mrs Kimberly Sue Matthews, MPT - Medicare Physical Therapist in Granger, IN