Kimberly Nicole Ristau, PT, DPT - Medicare Physical Therapist in Fluvanna, NY

Kimberly Nicole Ristau, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fluvanna, New York. Her current practice location is 3266 Fluvanna Avenue Ext, Fluvanna, New York. You can reach out to her office (for appointments etc.) via phone at (814) 688-6119.

Kimberly Nicole Ristau is licensed to practice in New York (license number 031194) 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 1548400732.

Contact Information

Kimberly Nicole Ristau, PT, DPT
3266 Fluvanna Avenue Ext,
Fluvanna, NY 14701-9706
(814) 688-6119
Not Available



Healthcare Provider's Profile

Full NameKimberly Nicole Ristau
GenderFemale
SpecialityPhysical Therapist
Location3266 Fluvanna Avenue Ext, Fluvanna, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548400732
  • Provider Enumeration Date: 02/27/2009
  • Last Update Date: 05/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072662303
  • Enrollment ID: I20090518000001

Medical Identifiers

Medical identifiers for Kimberly Nicole Ristau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548400732NPI-NPPES
03100832MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2305209156 (Virginia)Secondary
225100000XPhysical Therapist 019695 (Pennsylvania)Secondary
225100000XPhysical Therapist 031194 (New York)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. Kimberly Nicole Ristau allows following entities to bill medicare on her behalf.
Provider NameHealth Aquatic Wellness Of Chautauqua Physical Therapy Pllc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1144980962
PECOS PAC ID: 3971999814
Enrollment ID: O20220401001797

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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. Kimberly Nicole Ristau 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
Kimberly Nicole Ristau, PT, DPT
3266 Fluvanna Avenue Ext,
Fluvanna, NY 14701-9706

Ph: (814) 688-6119
Kimberly Nicole Ristau, PT, DPT
3266 Fluvanna Avenue Ext,
Fluvanna, NY 14701-9706

Ph: (814) 688-6119

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Physical Therapist in Fluvanna, NY

Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701
Phone: 716-708-6179    Fax: 716-463-2228
Wayne E Quattrone Ii, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701
Phone: 716-720-1896    
Candace Marie Brown, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701
Phone: 716-708-6179    

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