Dr Kelsey Ms Wieduwilt, PT, DPT in Jacksonville, NC - Medicare Physical Therapy Provider

Dr Kelsey Ms Wieduwilt, PT, DPT is a medicare enrolled "Physical Therapist" provider in Jacksonville, North Carolina. She went to University Of Alabama School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Synergy Physical Therapy And Sports Medicine Llc and her current practice location is 233 Bell Fork Rd Ste E, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 238-2259.

Dr Kelsey Ms Wieduwilt is licensed to practice in Oregon (license number 63576) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992337042.

Contact Information

	Dr Kelsey Ms Wieduwilt, PT, DPT
	233 Bell Fork Rd Ste E, Jacksonville, NC 28540-6471
	(910) 238-2259
	(888) 209-9322

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelsey Ms Wieduwilt
Gender	Female
Speciality	Physical Therapy
Experience	5 Years
Location	233 Bell Fork Rd Ste E, Jacksonville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelsey Ms Wieduwilt attended and graduated from University Of Alabama School Of Medicine in 2019

NPI Data:

NPI Number: 1992337042
Provider Enumeration Date: 02/06/2020
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8426486002
Enrollment ID: I20240422001759

Medical Identifiers

Medical identifiers for Dr Kelsey Ms Wieduwilt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992337042	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	63576 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Synergy Physical Therapy And Sports Medicine Llc	7911156559	3

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. Dr Kelsey Ms Wieduwilt allows following entities to bill medicare on her behalf.

Provider Name	Synergy Physical Therapy & Sports Medicine Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1326300013 PECOS PAC ID: 7911156559 Enrollment ID: O20120926000002

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. Dr Kelsey Ms Wieduwilt 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
Dr Kelsey Ms Wieduwilt, PT, DPT 233 Bell Fork Rd Ste E, Jacksonville, NC 28540-6471 Ph: (910) 238-2259	Dr Kelsey Ms Wieduwilt, PT, DPT 233 Bell Fork Rd Ste E, Jacksonville, NC 28540-6471 Ph: (910) 238-2259

Reviews and Comments

Physical Therapist in Jacksonville, NC

Erin M Ryan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083
Kelsey Aldi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555
Dr. Taylor Chadwick Bryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083
Mr. Frank J Mikloucich Jr., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-3151 Fax: 910-346-2975
Heather Koopman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brabham Ave Ste 100, Jacksonville, NC 28546 Phone: 910-332-3800 Fax: 910-251-0421
Darrin Eugene Madole, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544
Jose Luis Dejesus, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544

Dr Kelsey Ms Wieduwilt, PT, DPT - Medicare Physical Therapist in Jacksonville, NC