Jordan Nichol Puvogel, DPT - Medicare Physical Therapist in Liberty, MO

Jordan Nichol Puvogel, DPT is a medicare enrolled "Physical Therapist" provider in Liberty, Missouri. Her current practice location is 102 S Forrest Ave, Liberty, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 429-5199.

Jordan Nichol Puvogel is licensed to practice in Missouri (license number 2022030907) 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 1073241006.

Contact Information

Jordan Nichol Puvogel, DPT
102 S Forrest Ave,
Liberty, MO 64068-1908
(816) 429-5199
(816) 429-7129



Healthcare Provider's Profile

Full NameJordan Nichol Puvogel
GenderFemale
SpecialityPhysical Therapist
Location102 S Forrest Ave, Liberty, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073241006
  • Provider Enumeration Date: 08/09/2022
  • Last Update Date: 08/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961887401
  • Enrollment ID: I20220919002998

Medical Identifiers

Medical identifiers for Jordan Nichol Puvogel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073241006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2022030907 (Missouri)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. Jordan Nichol Puvogel allows following entities to bill medicare on her behalf.
Provider NameComplete Pt, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1790214252
PECOS PAC ID: 2062786825
Enrollment ID: O20170919000714

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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. Jordan Nichol Puvogel 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 AddressPractice Location Address
Jordan Nichol Puvogel, DPT
102 S Forrest Ave,
Liberty, MO 64068-1908

Ph: (816) 429-5199
Jordan Nichol Puvogel, DPT
102 S Forrest Ave,
Liberty, MO 64068-1908

Ph: (816) 429-5199

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Physical Therapist in Liberty, MO

Mr. Craig Bolles, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2105 Kara Ct, Suite #a-1, Liberty, MO 64068
Phone: 816-407-1249    Fax: 816-407-1259
Chad E Helmer, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1512 Ne 96th St, Ste A, Liberty, MO 64068
Phone: 816-792-0775    Fax: 816-792-0776
Reese Jordan Bennett, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 229 S Stewart Rd Ste E-3, Liberty, MO 64068
Phone: 816-656-3695    Fax: 816-656-3696
Rachel Lynn Bowling, DT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2555 Norterre Cir, Liberty, MO 64068
Phone: 816-463-8849    Fax: 816-481-8781
Mr. Gary Dwayne Eichenberger, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 102 S Forrest Ave, Liberty, MO 64068
Phone: 515-341-2721    
Debra Hohn, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 398 Blue Jay Dr, Liberty, MO 64068
Phone: 816-407-2315    Fax: 816-407-1555

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