Mr Kenneth Lagua Adivino, PT, MS - Medicare Physical Therapist in Beckley, WV

Mr Kenneth Lagua Adivino, PT, MS is a medicare enrolled "Physical Therapist" provider in Beckley, West Virginia. His current practice location is 306 Stanaford Rd, Beckley, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 255-3302.

Mr Kenneth Lagua Adivino is licensed to practice in West Virginia (license number PT003604) 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 1184087793.

Contact Information

Mr Kenneth Lagua Adivino, PT, MS
306 Stanaford Rd,
Beckley, WV 25801-3142
(304) 255-3302
(304) 254-2783



Healthcare Provider's Profile

Full NameMr Kenneth Lagua Adivino
GenderMale
SpecialityPhysical Therapist
Location306 Stanaford Rd, Beckley, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184087793
  • Provider Enumeration Date: 03/31/2016
  • Last Update Date: 03/31/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4981059359
  • Enrollment ID: I20231005001446

Medical Identifiers

Medical identifiers for Mr Kenneth Lagua Adivino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184087793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT003604 (West Virginia)Primary
225100000XPhysical Therapist 4669 (New Mexico)Secondary

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. Mr Kenneth Lagua Adivino allows following entities to bill medicare on his behalf.
Provider NameIntegrated Rehabilitation Group Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154369833
PECOS PAC ID: 0042111718
Enrollment ID: O20040115000944

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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. Mr Kenneth Lagua Adivino 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
Mr Kenneth Lagua Adivino, PT, MS
306 Stanaford Rd,
Beckley, WV 25801-3142

Ph: (304) 255-3302
Mr Kenneth Lagua Adivino, PT, MS
306 Stanaford Rd,
Beckley, WV 25801-3142

Ph: (304) 255-3302

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Physical Therapist in Beckley, WV

Mrs. Angela Michelle Strickland, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2233 S Kanawha St, Beckley, WV 25801
Phone: 304-255-9248    Fax: 304-255-9237
Catherine Canizares,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 250 Stanaford Rd, Beckley, WV 25801
Phone: 304-255-3302    Fax: 304-254-2783
Adriel R. Green, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 9 Yellow Wood Way, Beckley, WV 25801
Phone: 304-255-2376    Fax: 304-255-7120
Jukey Dotson, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 423 Carriage Dr, Beckley, WV 25801
Phone: 304-253-7246    Fax: 304-253-7250
Charles Dodson,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 400 Neville St, Beckley, WV 25801
Phone: 304-256-4712    
John Beasley, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 423 Carriage Dr, Beckley, WV 25801
Phone: 304-253-7246    Fax: 304-253-7250
Michael P Bates, PT CCM
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 9 Yellow Wood Way, Beckley, WV 25801
Phone: 304-255-2376    Fax: 304-255-7120

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