Ms Dana F Van Der Kieft, PT in Canby, OR - Medicare Physical Therapy Provider

Ms Dana F Van Der Kieft, PT is a medicare enrolled "Physical Therapist" provider in Canby, Oregon. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Action Potential Llc and her current practice location is 308 N Ivy St, Canby, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 263-6786.

Ms Dana F Van Der Kieft is licensed to practice in Oregon (license number 5156) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003871120.

Contact Information

	Ms Dana F Van Der Kieft, PT
	308 N Ivy St, Canby, OR 97013-3704
	(503) 263-6786
	(503) 263-6451

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Dana F Van Der Kieft
Gender	Female
Speciality	Physical Therapy
Experience	20 Years
Location	308 N Ivy St, Canby, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Dana F Van Der Kieft graduated from medical school in 2004

NPI Data:

NPI Number: 1003871120
Provider Enumeration Date: 04/20/2006
Last Update Date: 10/23/2008

Medicare PECOS Information:

PECOS PAC ID: 0042311821
Enrollment ID: I20161024001845

Medical Identifiers

Medical identifiers for Ms Dana F Van Der Kieft such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003871120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5156 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Action Potential Llc	1850605312	13

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. Ms Dana F Van Der Kieft allows following entities to bill medicare on her behalf.

Provider Name	Orthopedic And Sports Physical Therapy Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588661235 PECOS PAC ID: 4082507660 Enrollment ID: O20150508000371

Provider Name	Action Potential Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831478692 PECOS PAC ID: 1850605312 Enrollment ID: O20150729007141

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. Ms Dana F Van Der Kieft 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
Ms Dana F Van Der Kieft, PT Po Box 52194, Dept Code 960, Phoenix, AZ 85072-2194 Ph: (503) 489-1781	Ms Dana F Van Der Kieft, PT 308 N Ivy St, Canby, OR 97013-3704 Ph: (503) 263-6786

Reviews and Comments

Physical Therapist in Canby, OR

Ms. Jessica Ellen Karlson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1577 South Ivy St., Canby, OR 97013 Phone: 503-266-5541 Fax: 503-266-5544
Daniel Richard Ryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786 Fax: 503-567-0635
Emily Nicole Vavrosky, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786
Mr. Tyler Marc Bohnet, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786 Fax: 503-263-6451
Christian Ricardo Miranda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S Hazel Dell Way Ste 210, Canby, OR 97013 Phone: 503-263-9550
Kristin Jane Zosel, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786 Fax: 503-263-6451

Ms Dana F Van Der Kieft, PT - Medicare Physical Therapist in Canby, OR