Agnes Anna Wise, in Medina, OH - Medicare Physical Therapist Provider

Agnes Anna Wise, is a medicare enrolled "Physical Therapist" provider in Medina, Ohio. Her current practice location is 700 E Washington St, Medina, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 722-3781.

Agnes Anna Wise is licensed to practice in Ohio (license number 10779) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952173239.

Contact Information

	Agnes Anna Wise,
	700 E Washington St, Medina, OH 44256-2126
	(330) 722-3781
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Agnes Anna Wise
Gender	Female
Speciality	Physical Therapist
Location	700 E Washington St, Medina, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952173239
Provider Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0042661266
Enrollment ID: I20240111002593

Medical Identifiers

Medical identifiers for Agnes Anna Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952173239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10779 (Ohio)	Primary

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. Agnes Anna Wise allows following entities to bill medicare on her behalf.

Provider Name	Ferrell Whited Physical Therapy Services, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265701007 PECOS PAC ID: 8426217092 Enrollment ID: O20120319000165

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. Agnes Anna Wise 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
Agnes Anna Wise, 700 E Washington St, Medina, OH 44256-2126 Ph: (330) 722-3781	Agnes Anna Wise, 700 E Washington St, Medina, OH 44256-2126 Ph: (330) 722-3781

Reviews and Comments

Physical Therapist in Medina, OH

Ms. Lisa Marie Fousek, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Washington St, Medina, OH 44256 Phone: 330-725-1000
Medina Centerpointe Chiropractic Center Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4085 N Jefferson St, Medina, OH 44256 Phone: 330-723-2225
Ms. Dana Eileen Graf, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3812 Weymouth Woods Dr, Medina, OH 44256 Phone: 330-416-6073
Mr. Dimitrios Paschalidis, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4975 Foote Rd, Suite 200, Medina, OH 44256 Phone: 330-725-8772 Fax: 330-725-3914
Matthew Christopher Stevens, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 E Washington St, Medina, OH 44256 Phone: 330-722-3781 Fax: 330-725-6294
Corey Lynn Dilalla, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Leisure Ln, Medina, OH 44256 Phone: 330-723-5825
Ms. Rebecca Joan Linnean, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Washington St, Medina, OH 44256 Phone: 330-721-5018 Fax: 330-721-4913

Agnes Anna Wise, - Medicare Physical Therapist in Medina, OH