Gunther Dedamos, in Green Bay, WI - Medicare Physical Therapist Provider

Gunther Dedamos, is a medicare enrolled "Physical Therapist" provider in Green Bay, Wisconsin. His current practice location is 2664 S Oneida St Ste 102, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 321-5700.

Gunther Dedamos is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386360832.

Contact Information

	Gunther Dedamos,
	2664 S Oneida St Ste 102, Green Bay, WI 54304-5615
	(920) 321-5700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gunther Dedamos
Gender	Male
Speciality	Physical Therapist
Location	2664 S Oneida St Ste 102, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386360832
Provider Enumeration Date: 10/17/2022
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 9234506171
Enrollment ID: I20221104001519

Medical Identifiers

Medical identifiers for Gunther Dedamos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386360832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Gunther Dedamos allows following entities to bill medicare on his behalf.

Provider Name	Athletic & Therapeutic Institute Of Milwaukee, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801907464 PECOS PAC ID: 2062469190 Enrollment ID: O20140616000469

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. Gunther Dedamos 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
Gunther Dedamos, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Gunther Dedamos, 2664 S Oneida St Ste 102, Green Bay, WI 54304-5615 Ph: (920) 321-5700

Reviews and Comments

Physical Therapist in Green Bay, WI

Anne Marie Hein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Packerland Dr, Green Bay, WI 54313 Phone: 920-592-3845
Breanna Marie Peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1660 Hoffman Rd, Green Bay, WI 54311 Phone: 920-351-8725
Ellen Linskens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Alexander Lee Peterson, D-PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700 Fax: 920-433-6719
Mr. Thomas J Krahn, DPT, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2502 S. Ashland Ave., Green Bay, WI 54304 Phone: 920-496-4750
Tony James Busse, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1920 Libal St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-433-8765
Jill Ball, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1760 Shawano Ave, Green Bay, WI 54303 Phone: 605-830-8227

Gunther Dedamos, - Medicare Physical Therapist in Green Bay, WI