Brian J Dvorak, PT in Beaver Dam, WI - Medicare Physical Therapist Provider

Brian J Dvorak, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Beaver Dam, Wisconsin. His current practice location is 118 W Maple Ave, Beaver Dam, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 356-1000.

Brian J Dvorak is licensed to practice in Wisconsin (license number 10392) 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 1588777999.

Contact Information

	Brian J Dvorak, PT
	118 W Maple Ave, Beaver Dam, WI 53916-2104
	(920) 356-1000
	(920) 356-0719

Map and Direction

Healthcare Provider's Profile

Full Name	Brian J Dvorak
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	118 W Maple Ave, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588777999
Provider Enumeration Date: 08/17/2006
Last Update Date: 12/20/2011

Medicare PECOS Information:

PECOS PAC ID: 7416909643
Enrollment ID: I20050216000541

Medical Identifiers

Medical identifiers for Brian J Dvorak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588777999	NPI	-	NPPES
40452200	Medicaid	WI
61270	Other	WI	DEAN HEALTH SYSTEMS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	10392 (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. Brian J Dvorak allows following entities to bill medicare on his behalf.

Provider Name	Divine Savior Healthcare Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909

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. Brian J Dvorak 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
Brian J Dvorak, PT 118 W Maple Ave, Beaver Dam, WI 53916-2104 Ph: (920) 356-1000	Brian J Dvorak, PT 118 W Maple Ave, Beaver Dam, WI 53916-2104 Ph: (920) 356-1000

Reviews and Comments

Physical Therapist in Beaver Dam, WI

Karren S Ko, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 Gateway Dr Ste 300, Beaver Dam, WI 53916 Phone: 800-974-4378 Fax: 630-515-1536
Abigail L Paspalofski, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 803 S University Ave, Beaver Dam, WI 53916 Phone: 920-885-6225
Tia Mathwich, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-7181
Mr. Dennis Lee Bostwick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Monroe St, Beaver Dam, WI 53916 Phone: 920-887-1001 Fax: 920-887-2151
Jody Weber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 S University Avenue, Ste 150, Beaver Dam, WI 53916 Phone: 920-885-2663 Fax: 920-885-2466
Pt Solutions Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Monroe Street, Beaver Dam, WI 53916 Phone: 920-885-6801 Fax: 920-885-6810
Dr. Kellie Marie Wagner, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750

Brian J Dvorak, PT - Medicare Physical Therapist in Beaver Dam, WI