Courtney Wack, PT in Madison, WI - Medicare Physical Therapist Provider

Courtney Wack, PT is a medicare enrolled "Physical Therapist" provider in Madison, Wisconsin. Her current practice location is 4602 Eastpark Blvd., First Floor Rehab Mail Code Ac10, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 440-6440.

Courtney Wack is licensed to practice in Wisconsin (license number 10680) 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 1295131522.

Contact Information

	Courtney Wack, PT
	4602 Eastpark Blvd., First Floor Rehab Mail Code Ac10, Madison, WI 53718
	(608) 440-6440
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Wack
Gender	Female
Speciality	Physical Therapist
Location	4602 Eastpark Blvd., Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295131522
Provider Enumeration Date: 11/13/2014
Last Update Date: 04/08/2021

Medicare PECOS Information:

PECOS PAC ID: 5294052361
Enrollment ID: I20150330001268

Medical Identifiers

Medical identifiers for Courtney Wack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295131522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10680 (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. Courtney Wack allows following entities to bill medicare on her behalf.

Provider Name	Advanced Pain Management Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770506669 PECOS PAC ID: 1456257633 Enrollment ID: O20031209000560

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. Courtney Wack 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
Courtney Wack, PT 318 Huntsville Rdg, Sun Prairie, WI 53590-4209 Ph: (414) 241-7674	Courtney Wack, PT 4602 Eastpark Blvd., First Floor Rehab Mail Code Ac10, Madison, WI 53718 Ph: (608) 440-6440

Reviews and Comments

Physical Therapist in Madison, WI

Sarah Polenska, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Dewey Ct, Madison, WI 53703 Phone: 608-438-4637
Colleen T Bednarz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-7337
Colleen Marie Aubrey, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7475 Mineral Point Rd Ste 7, Madison, WI 53717 Phone: 608-229-1000 Fax: 608-229-1001
Heidi L Mancusi, PT, RN Physical Therapist Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Compliance Mail Code-2433, Madison, WI 53792 Phone: 608-662-0817
Susan Meng, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 S Park St, Madison, WI 53715 Phone: 608-417-6000
Megan Lawless, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2620 Waunona Way, Madison, WI 53713 Phone: 608-223-1452 Fax: 608-223-1459
Maureen Mclain, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ter, Pmrs, Madison, WI 53705 Phone: 608-256-1901 Fax: 608-280-7079

Courtney Wack, PT - Medicare Physical Therapist in Madison, WI