Robert Wichlacz, MPT in Grand Rapids, MI - Medicare Physical Medicine & Rehabilitation

Robert Wichlacz, MPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Grand Rapids, Michigan. His current practice location is 3041 Charlevoix Dr Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 942-7200.

Robert Wichlacz is licensed to practice in Michigan (license number 5501006967) 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 1487629085.

Contact Information

	Robert Wichlacz, MPT
	3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035
	(616) 942-7200
	Not Available

Map and Direction

Physician's Profile

Full Name	Robert Wichlacz
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	3041 Charlevoix Dr Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487629085
Provider Enumeration Date: 02/17/2006
Last Update Date: 08/20/2019

Medicare PECOS Information:

PECOS PAC ID: 6507805389
Enrollment ID: I20050503000113

Medical Identifiers

Medical identifiers for Robert Wichlacz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487629085	NPI	-	NPPES
650G011440	Other	MI	BOB BCBSMI
5501006967	Other	MI	BOB STATE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	5501006967 (Michigan)	Primary
225100000X	Physical Therapist	5501006967 (Michigan)	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. Robert Wichlacz allows following entities to bill medicare on his behalf.

Entity Name	Golan Integrated Physical Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316419260 PECOS PAC ID: 2365678125 Enrollment ID: O20190904001198

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. Robert Wichlacz 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
Robert Wichlacz, MPT 3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035 Ph: (616) 942-7200	Robert Wichlacz, MPT 3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035 Ph: (616) 942-7200

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Grand Rapids, MI

Dr. Aashish A Deshpande, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503 Phone: 616-486-9600
Dr. Jacob H Reisner, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860
Jina Libby, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se Bldg Ste 305, Grand Rapids, MI 49503 Phone: 616-685-6867
Andrea S Kuldanek, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8005 Fax: 616-840-9642
Christopher Rizik, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000
Dr. Eric J Egeler, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Jason Toma, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2320 E Beltline Ave Se, Grand Rapids, MI 49546 Phone: 616-831-8666

Robert Wichlacz, MPT - Medicare Physical Medicine & Rehabilitation in Grand Rapids, MI