Billing > Billing

another PT treating a patient

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Michele:
Do you mean individual NPI ID, or Insurance ID?  Bottom line, in either case, the 2nd PT would have to be credentialed under or linked to the first PT by the insurance carrier, whatever ID # the first PT is using.

Michele

Anne:
so first PT would have to have a group ID and group NPI in order to have second PT linked, right?  ins. carrier wouldn't link a PT to an individual EIN  - correct?  None of PT's or OT's I'm talking about are credentialed with the ins. carrier - they are seeing these patients out of network with Medicaid as secondary ins.  thanks for your help,  Ryanne

Michele:
Most carriers would require that the PT have a group EIN & NPI in order to link others to them.

Michele

jwoman9835:
How would this work for medicare Part B? If I am the PT provider but hire another PT or PTA to do some treatments do they need their own Med B provider number or do they work under mine?  Do they need their own NPI?

Does my Med B provider number for PT allow me to hire an OT if prescription call for that too?
Jill, PT

PMRNC:
wouldn't they need to setup a locum tenens?

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