Daniel Waller, DPT in Long Grove, IL - Medicare Physical Therapy Provider

Daniel Waller, DPT is a medicare enrolled "Physical Therapist" provider in Long Grove, Illinois. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Team Rehabilitation Services Llc and his current practice location is 4192 Il Route 83 Unit G, Long Grove, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 307-5010.

Daniel Waller is licensed to practice in Illinois (license number 070024897) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952948333.

Contact Information

	Daniel Waller, DPT
	4192 Il Route 83 Unit G, Long Grove, IL 60047-9563
	(847) 307-5010
	(847) 307-5011

Map and Direction

Healthcare Provider's Profile

Full Name	Daniel Waller
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	4192 Il Route 83 Unit G, Long Grove, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Daniel Waller graduated from medical school in 2019

NPI Data:

NPI Number: 1952948333
Provider Enumeration Date: 12/05/2019
Last Update Date: 12/11/2023

Medicare PECOS Information:

PECOS PAC ID: 7517391147
Enrollment ID: I20200107001409

Medical Identifiers

Medical identifiers for Daniel Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952948333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070024897 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Team Rehabilitation Services Llc	2264479518	529

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. Daniel Waller allows following entities to bill medicare on his behalf.

Provider Name	Team Rehabilitation Il12 Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639618614 PECOS PAC ID: 5193001584 Enrollment ID: O20170419003026

Provider Name	Team Rehabilitation Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891465142 PECOS PAC ID: 2264479518 Enrollment ID: O20211110000664

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. Daniel Waller 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
Daniel Waller, DPT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644	Daniel Waller, DPT 4192 Il Route 83 Unit G, Long Grove, IL 60047-9563 Ph: (847) 307-5010

Reviews and Comments

Physical Therapist in Long Grove, IL

Agnieszka Adamczyk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2569 Lincoln Ave, Long Grove, IL 60047 Phone: 847-381-8812 Fax: 847-381-6311
Alexa Leigh Silversides, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4192 Il Route 83 Unit G, Long Grove, IL 60047 Phone: 847-307-5010 Fax: 847-307-5011
Elizabeth Heller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4160 Route 83, Suite 240, Long Grove, IL 60047 Phone: 847-478-8761
Dynamix Rehabilitation Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3206 Rfd, Long Grove, IL 60047 Phone: 847-452-3403 Fax: 847-745-0546
Debra Levay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6234 Pine Tree Dr, Long Grove, IL 60047 Phone: 847-767-3127
Team Rehabilitation Il12, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4192 Il Route 83, Long Grove, IL 60047 Phone: 847-307-5010 Fax: 847-307-5011
Abbey Rosenquist, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4192 Il Route 83 Unit G, Long Grove, IL 60047 Phone: 847-307-5010 Fax: 847-307-5011

Daniel Waller, DPT - Medicare Physical Therapist in Long Grove, IL