Nicholas Ellefson, DPT in Kirkwood, MO - Medicare Physical Therapist Provider

Nicholas Ellefson, DPT is a medicare enrolled "Physical Therapist" provider in Kirkwood, Missouri. His current practice location is 333 S Kirkwood Rd Ste 201, Kirkwood, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 909-4848.

Nicholas Ellefson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336982115.

Contact Information

	Nicholas Ellefson, DPT
	333 S Kirkwood Rd Ste 201, Kirkwood, MO 63122-6161
	(314) 909-4848
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Ellefson
Gender	Male
Speciality	Physical Therapist
Location	333 S Kirkwood Rd Ste 201, Kirkwood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336982115
Provider Enumeration Date: 06/18/2024
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7113462375
Enrollment ID: I20240711002528

Medical Identifiers

Medical identifiers for Nicholas Ellefson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336982115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Nicholas Ellefson allows following entities to bill medicare on his behalf.

Provider Name	Advanced Training And Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174576045 PECOS PAC ID: 2961487475 Enrollment ID: O20040621000163

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. Nicholas Ellefson 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
Nicholas Ellefson, DPT 14515 N Outer 40 Rd Ste 110, Chesterfield, MO 63017-5746 Ph: (314) 434-8680	Nicholas Ellefson, DPT 333 S Kirkwood Rd Ste 201, Kirkwood, MO 63122-6161 Ph: (314) 909-4848

Reviews and Comments

Physical Therapist in Kirkwood, MO

Addison Hanusek, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 S Kirkwood Rd Ste 201, Kirkwood, MO 63122 Phone: 314-909-4848
Anthony Pucci, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 333 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-909-4848
Anne Fordonski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Kirkwood Rd Ste 150, Kirkwood, MO 63122 Phone: 708-990-3068
Ms. Mary L Schmidt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-984-9220 Fax: 314-984-9225
Jennifer Holland, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-984-9220
Susan Ring, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 439 S Kirkwood Rd, 200, Kirkwood, MO 63122 Phone: 314-909-7800
Smart Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 524 S Crescent Dr, Kirkwood, MO 63122 Phone: 314-686-1309

Nicholas Ellefson, DPT - Medicare Physical Therapist in Kirkwood, MO