Engram Therapy And Wellness Clinic in Chicago, IL - Medicare Physical Therapist Provider

Engram Therapy And Wellness Clinic is a medicare enrolled "Physical Therapist" provider in Chicago, Illinois. Their current practice location is 2655 W Peterson Ave, Chicago, Illinois. You can reach out to their office (for appointments etc.) via phone at (630) 729-4344.

Engram Therapy And Wellness Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Engram Therapy And Wellness Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295404820.

Contact Information

	Engram Therapy And Wellness Clinic
	2655 W Peterson Ave, Chicago, IL 60659-4017
	(630) 729-4344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Engram Therapy And Wellness Clinic
Type	Facility
Speciality	Physical Therapist
Location	2655 W Peterson Ave, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295404820
Provider Enumeration Date: 09/08/2021
Last Update Date: 04/01/2022

Medicare PECOS Information:

PECOS PAC ID: 3072904440
Enrollment ID: O20220630000530

Medical Identifiers

Medical identifiers for Engram Therapy And Wellness Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295404820	NPI	-	NPPES
1184899072	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Engram Therapy And Wellness Clinic acts as a billing entity for following providers:

Provider Name	Carla Mae Haverland
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1184899072 PECOS PAC ID: 4981095353 Enrollment ID: I20220630000501

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. Engram Therapy And Wellness Clinic 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
Engram Therapy And Wellness Clinic 2655 W Peterson Ave, Chicago, IL 60659-4017 Ph: (630) 729-4344	Engram Therapy And Wellness Clinic 2655 W Peterson Ave, Chicago, IL 60659-4017 Ph: (630) 729-4344

Reviews and Comments

Physical Therapist in Chicago, IL

Physical Therapy Clinic Of Chicago, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6135 W Belmont Ave, Chicago, IL 60634 Phone: 773-237-7827 Fax: 773-237-7826
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Nicholas E Crosby, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 W Chestnut St, Apartment 1604, Chicago, IL 60610 Phone: 773-961-5322
Molly Swenson Murgatroyd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 S Promontory Dr, Chicago, IL 60649 Phone: 773-256-5776
Melissa Strzelinski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000
Dr. Devon Beer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-794-7690
Melfa Laroza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 W Division St, Physical Therapy Department, Chicago, IL 60622 Phone: 312-770-2000 Fax: 312-770-3477

Engram Therapy And Wellness Clinic - Medicare Physical Therapist in Chicago, IL