Adam Robert Ketterhagen, PT DPT in Mount Pleasant, WI - Medicare Physical Therapy Provider

Adam Robert Ketterhagen, PT DPT is a medicare enrolled "Physical Therapist" provider in Mount Pleasant, Wisconsin. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Athletico Ltd and his current practice location is 5340 Washington Ave, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 638-1272.

Adam Robert Ketterhagen is licensed to practice in Wisconsin (license number 12113-24) 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 1114273372.

Contact Information

	Adam Robert Ketterhagen, PT DPT
	5340 Washington Ave, Mount Pleasant, WI 53406
	(262) 638-1272
	(262) 638-1287

Map and Direction

Healthcare Provider's Profile

Full Name	Adam Robert Ketterhagen
Gender	Male
Speciality	Physical Therapy
Experience	12 Years
Location	5340 Washington Ave, Mount Pleasant, Wisconsin
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:

Adam Robert Ketterhagen graduated from medical school in 2012

NPI Data:

NPI Number: 1114273372
Provider Enumeration Date: 07/25/2012
Last Update Date: 01/04/2019

Medicare PECOS Information:

PECOS PAC ID: 8426205196
Enrollment ID: I20190206000026

Medical Identifiers

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

Identifier	Type	State	Issuer
1114273372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12113-24 (Wisconsin)	Primary
225100000X	Physical Therapist	9895 (Arizona)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletico Ltd	4789602681	1963

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. Adam Robert Ketterhagen allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433

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. Adam Robert Ketterhagen 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
Adam Robert Ketterhagen, PT DPT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980	Adam Robert Ketterhagen, PT DPT 5340 Washington Ave, Mount Pleasant, WI 53406 Ph: (262) 638-1272

Reviews and Comments

Physical Therapist in Mount Pleasant, WI

Cheryl Lasselle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 N Fancher Rd, Mount Pleasant, WI 53406 Phone: 262-886-1956
Mark Stephen Suthoff, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5502 Washington Ave Ste 500, Mount Pleasant, WI 53406 Phone: 262-637-2470
Taylour R Iding, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5340 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-638-1272 Fax: 262-638-1287
Advanced Spine And Sport Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 6222 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-6418 Fax: 262-884-6489
Dr. Joshua Vincent Egle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1103 Hunter Dr Ste 101, Mount Pleasant, WI 53406 Phone: 262-800-4440 Fax: 262-800-4434
Extend Physical Therapy And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1648 Kuiper Ln, Mount Pleasant, WI 53406 Phone: 262-902-7881
Andrew James Hajduk, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5502 Washington Ave, Suite 500, Mount Pleasant, WI 53406 Phone: 262-637-2470

Adam Robert Ketterhagen, PT DPT - Medicare Physical Therapist in Mount Pleasant, WI