David J Wisowaty, is a medicare enrolled "Physical Therapist" physician in Wilkes Barre, Pennsylvania. 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 Elite Spine And Sports Physical Therapy Lp and his current practice location is
182 Butler St, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 970-0402.
David J Wisowaty is licensed to practice in * (Not Available) (license number ) 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 1881159887.
Physician's Profile
Full Name | David J Wisowaty |
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Gender | Male |
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Speciality | Physical Therapy |
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Experience | 6 Years |
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Location | 182 Butler St, Wilkes Barre, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- David J Wisowaty graduated from medical school in 2018
NPI Data:
- NPI Number: 1881159887
- Provider Enumeration Date: 02/04/2019
- Last Update Date: 05/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658610696
- Enrollment ID: I20190308000885
Medical Identifiers
Medical identifiers for David J Wisowaty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881159887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PT027398 (Pennsylvania) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Elite Spine And Sports Physical Therapy Lp | 0840664918 | 11 |
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. David J Wisowaty allows following entities to bill medicare on his behalf.
Entity Name | Elite Spine And Sports Physical Therapy |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134468598 PECOS PAC ID: 6800032764 Enrollment ID: O20130419000030 |
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Entity Name | Elite Spine And Sports Physical Therapy Lp |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1932810819 PECOS PAC ID: 0840664918 Enrollment ID: O20230314000386 |
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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. David J Wisowaty 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 Address | Practice Location Address |
David J Wisowaty, 182 Butler St, Wilkes Barre, PA 18702-4465 Ph: (570) 970-0402 | David J Wisowaty, 182 Butler St, Wilkes Barre, PA 18702-4465 Ph: (570) 970-0402 |
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