Alyssa Anne Gloudemans, PT in Oshkosh, WI - Medicare Physical Therapist Provider

Alyssa Anne Gloudemans, PT is a medicare enrolled "Physical Therapist" provider in Oshkosh, Wisconsin. Her current practice location is 500 S Oakwood Rd, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 738-2000.

Alyssa Anne Gloudemans is licensed to practice in Wisconsin (license number 13586-24) 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 1689128365.

Contact Information

	Alyssa Anne Gloudemans, PT
	500 S Oakwood Rd, Oshkosh, WI 54904-7944
	(920) 738-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alyssa Anne Gloudemans
Gender	Female
Speciality	Physical Therapist
Location	500 S Oakwood Rd, Oshkosh, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689128365
Provider Enumeration Date: 08/10/2016
Last Update Date: 01/31/2020

Medicare PECOS Information:

PECOS PAC ID: 4688116775
Enrollment ID: I20240604003384

Medical Identifiers

Medical identifiers for Alyssa Anne Gloudemans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689128365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13586-24 (Wisconsin)	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. Alyssa Anne Gloudemans allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134844848 PECOS PAC ID: 2769723162 Enrollment ID: O20230503002799

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. Alyssa Anne Gloudemans 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
Alyssa Anne Gloudemans, PT 2420 Lupine Ct, Menasha, WI 54952-8917 Ph: (920) 810-4737	Alyssa Anne Gloudemans, PT 500 S Oakwood Rd, Oshkosh, WI 54904-7944 Ph: (920) 738-2000

Reviews and Comments

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Alyssa Anne Gloudemans, PT - Medicare Physical Therapist in Oshkosh, WI