Kenneth Smith, PT - Medicare Physical Therapist in Thayne, WY

Kenneth Smith, PT is a medicare enrolled "Physical Therapist" provider in Thayne, Wyoming. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Red Tail Therapy Llc and his current practice location is 487a North Main St, Thayne, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 883-8877.

Kenneth Smith is licensed to practice in Wyoming (license number PT1828) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558838185.

Contact Information

Kenneth Smith, PT
487a North Main St,
Thayne, WY 83127
(307) 883-8877
(307) 883-8876



Healthcare Provider's Profile

Full NameKenneth Smith
GenderMale
SpecialityPhysical Therapy
Experience6 Years
Location487a North Main St, Thayne, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Smith graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1558838185
  • Provider Enumeration Date: 11/01/2018
  • Last Update Date: 07/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3375881212
  • Enrollment ID: I20190219000680

Medical Identifiers

Medical identifiers for Kenneth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558838185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT1828 (Wyoming)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Red Tail Therapy Llc48800795652

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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. Kenneth Smith allows following entities to bill medicare on his behalf.
Provider NameRed Tail Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1710618483
PECOS PAC ID: 4880079565
Enrollment ID: O20220915003405

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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. Kenneth Smith 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
Kenneth Smith, PT
Po Box 860,
Thayne, WY 83127-0860

Ph: (307) 883-8877
Kenneth Smith, PT
487a North Main St,
Thayne, WY 83127

Ph: (307) 883-8877

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Physical Therapist in Thayne, WY

Dr. Hayden Glen Datwyler, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 124 Petersen Pkwy, Thayne, WY 83127
Phone: 307-883-7878    
Jimmy Douglas Wheeler, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 124 Petersen Parkway, #1, Thayne, WY 83127
Phone: 307-883-7878    Fax: 307-883-7877
Dr. Clancy Clyde Brown, DPT, CSCS
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 124 Petersen Pkwy Ste 1, Thayne, WY 83127
Phone: 307-883-7878    Fax: 307-883-7877
Daniel Dean Jeske, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 124 Petersen Parkway #1, Thayne, WY 83127
Phone: 307-883-7878    
David Stoker, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 487a N Main St, Thayne, WY 83127
Phone: 307-883-8877    Fax: 307-883-8876
Mr. David Matthew Johnson, MSPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 124 Petersen Parkway #6, Suite 1, Thayne, WY 83127
Phone: 307-883-7878    Fax: 307-883-7877

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