Charlette Shy Wiggins-gurich, in Fremont, CA - Medicare Physical Therapist Provider

Charlette Shy Wiggins-gurich, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Fremont, California. Her current practice location is 3161 Walnut Ave, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 796-1000.

Charlette Shy Wiggins-gurich is licensed to practice in Oregon (license number 64122) 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 1295303725.

Contact Information

	Charlette Shy Wiggins-gurich,
	3161 Walnut Ave, Fremont, CA 94538-2216
	(510) 796-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charlette Shy Wiggins-gurich
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	3161 Walnut Ave, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295303725
Provider Enumeration Date: 06/11/2021
Last Update Date: 06/11/2021

Medicare PECOS Information:

PECOS PAC ID: 6800266487
Enrollment ID: I20221222000708

Medical Identifiers

Medical identifiers for Charlette Shy Wiggins-gurich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295303725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	64122 (Oregon)	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. Charlette Shy Wiggins-gurich allows following entities to bill medicare on her behalf.

Provider Name	Quinn Orthopedic Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1568506178 PECOS PAC ID: 0244335180 Enrollment ID: O20070420000337

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. Charlette Shy Wiggins-gurich 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
Charlette Shy Wiggins-gurich, 573 Se Walnut St Apt 1, Hillsboro, OR 97123-4441 Ph: (408) 841-1493	Charlette Shy Wiggins-gurich, 3161 Walnut Ave, Fremont, CA 94538-2216 Ph: (510) 796-1000

Reviews and Comments

Physical Therapist in Fremont, CA

Shweta Prakash Sadalge, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1895 Mowry Ave, Suite #118a, Fremont, CA 94538 Phone: 510-790-0383 Fax: 510-790-1197
Ina Fitzgibbon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39210 State St, Ste 202, Fremont, CA 94538 Phone: 415-420-6127
Judy Nalanganeagleton, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3200
Mr. Kyle Takeo Tanamachi, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3504
Katharin Kaczor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 Walnut Ave, #303b, Fremont, CA 94538 Phone: 510-742-9580
Anju Sharma, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2942 Cheswycke Ter, Apt 157, Fremont, CA 94536 Phone: 602-773-1058
Anuradha Hajarnis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 39210 State St, Fremont, CA 94538 Phone: 510-790-9480

Charlette Shy Wiggins-gurich, - Medicare Physical Therapist in Fremont, CA