Mrs Kimberly Thomas Wagner, PT in Port St Joe, FL - Medicare Physical Therapist Provider

Mrs Kimberly Thomas Wagner, PT is a medicare enrolled "Physical Therapist" provider in Port St Joe, Florida. Her current practice location is 3801 E Highway 98, Port St Joe, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 229-5752.

Mrs Kimberly Thomas Wagner is licensed to practice in Florida (license number PT17258) 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 1518003995.

Contact Information

	Mrs Kimberly Thomas Wagner, PT
	3801 E Highway 98, Port St Joe, FL 32456-5318
	(850) 229-5752
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Thomas Wagner
Gender	Female
Speciality	Physical Therapist
Location	3801 E Highway 98, Port St Joe, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518003995
Provider Enumeration Date: 01/30/2007
Last Update Date: 01/25/2012

Medicare PECOS Information:

PECOS PAC ID: 3779020615
Enrollment ID: I20240808003980

Medical Identifiers

Medical identifiers for Mrs Kimberly Thomas Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518003995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT17258 (Florida)	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 Thomas Wagner allows following entities to bill medicare on her behalf.

Provider Name	Pro Vita Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790332351 PECOS PAC ID: 6901226976 Enrollment ID: O20201013000689

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 Thomas Wagner 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 Thomas Wagner, PT 517 8th St, Port St Joe, FL 32456-1715 Ph: (352) 317-7180	Mrs Kimberly Thomas Wagner, PT 3801 E Highway 98, Port St Joe, FL 32456-5318 Ph: (850) 229-5752

Reviews and Comments

Physical Therapist in Port St Joe, FL

Bruce R Denhart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2775 Garrison Ave, Port St Joe, FL 32456 Phone: 850-229-1900 Fax: 850-229-7842
Edilma Duval, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 E Highway 98, Port St Joe, FL 32456 Phone: 850-229-5752
Mr. Joshua Mick, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3801 E Highway 98, Port St Joe, FL 32456 Phone: 850-229-5752 Fax: 850-227-7999
Dr. David James Whitfield, MSPT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 E 4th St, Port St Joe, FL 32456 Phone: 850-227-7778 Fax: 850-227-7999
Premier Rehab Management, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 Marina Dr, Suite 302, Port St Joe, FL 32456 Phone: 866-464-3878 Fax: 334-396-4905
Monica Pineda, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3801 E Highway 98, Port St Joe, FL 32456 Phone: 850-229-5752 Fax: 850-229-7999

Mrs Kimberly Thomas Wagner, PT - Medicare Physical Therapist in Port St Joe, FL