Amy Guillaume, DPT, CSCS in Evansville, IN - Medicare Physical Therapist Provider

Amy Guillaume, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Evansville, Indiana. Her current practice location is 7300 E Indiana St, Ste. 102, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 476-0409.

Amy Guillaume is licensed to practice in Indiana (license number 05007424A) 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 1649254624.

Contact Information

	Amy Guillaume, DPT, CSCS
	7300 E Indiana St, Ste. 102, Evansville, IN 47715-2794
	(812) 476-0409
	(812) 476-1016

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Guillaume
Gender	Female
Speciality	Physical Therapist
Location	7300 E Indiana St, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649254624
Provider Enumeration Date: 12/02/2005
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 0547248262
Enrollment ID: I20040709000702

Medical Identifiers

Medical identifiers for Amy Guillaume such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649254624	NPI	-	NPPES
000000302853	Other	IN	BLUE CROSS BLUE SHIELD
200839680	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05007424A (Indiana)	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. Amy Guillaume allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehab Indiana Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043568942 PECOS PAC ID: 9436303559 Enrollment ID: O20130214000146

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. Amy Guillaume 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
Amy Guillaume, DPT, CSCS 7300 E Indiana St, Ste. 102, Evansville, IN 47715-2794 Ph: (812) 476-0409	Amy Guillaume, DPT, CSCS 7300 E Indiana St, Ste. 102, Evansville, IN 47715-2794 Ph: (812) 476-0409

Reviews and Comments

Physical Therapist in Evansville, IN

Conner J Zuber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558 Fax: 812-474-2296
Arnaldo Santana Rodriguez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558
Ricky Kenneth Lockard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Rosenberger Ave, Evansville, IN 47712 Phone: 812-476-7000
Suzanne M Flamion, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14020 Old State Rd Ste D100, Evansville, IN 47725 Phone: 812-469-4770
Kaylan Seng, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Bellemeade Ave, Evansville, IN 47714 Phone: 812-479-1411
Kayla Marie Lydon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5625 Pearl Dr Ste 100, Evansville, IN 47712 Phone: 812-759-7493 Fax: 812-401-2346
Katherine E Garcia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Interchange Rd S Ste A, Evansville, IN 47715 Phone: 812-477-5000 Fax: 812-477-5002

Amy Guillaume, DPT, CSCS - Medicare Physical Therapist in Evansville, IN