James Ethan Maciejewski, DPT in Saint John, IN - Medicare Physical Therapist Provider

James Ethan Maciejewski, DPT is a medicare enrolled "Physical Therapist" provider in Saint John, Indiana. His current practice location is 10033 Wicker Ave Ste 7&8, Saint John, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 213-2222.

James Ethan Maciejewski 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 1770347551.

Contact Information

	James Ethan Maciejewski, DPT
	10033 Wicker Ave Ste 7&8, Saint John, IN 46373-8776
	(219) 213-2222
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	James Ethan Maciejewski
Gender	Male
Speciality	Physical Therapist
Location	10033 Wicker Ave Ste 7&8, Saint John, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770347551
Provider Enumeration Date: 02/12/2024
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 4981049798
Enrollment ID: I20240304000761

Medical Identifiers

Medical identifiers for James Ethan Maciejewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770347551	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. James Ethan Maciejewski allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959

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. James Ethan Maciejewski 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
James Ethan Maciejewski, DPT 10562 Maloian Dr, Saint John, IN 46373-9185 Ph: (219) 310-9125	James Ethan Maciejewski, DPT 10033 Wicker Ave Ste 7&8, Saint John, IN 46373-8776 Ph: (219) 213-2222

Reviews and Comments

Physical Therapist in Saint John, IN

Kelli Driscoll, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10700 Park Pl, Saint John, IN 46373 Phone: 219-247-6459
Joshua Dejong, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10200 Wicker Ave Ste 1, Saint John, IN 46373 Phone: 219-924-3300 Fax: 219-924-3300
Dr. Latrese Smith-wynn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-226-2326 Fax: 219-226-2327
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10081 Wicker Ave #4, Saint John, IN 46373 Phone: 219-627-6445 Fax: 219-351-1803
Trademark Performance Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9145 W 103rd St, Saint John, IN 46373 Phone: 517-425-2882
Michele Kaluf, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-226-2326
Leap Rehabilitation And Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8261 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1133 Fax: 219-365-7703

James Ethan Maciejewski, DPT - Medicare Physical Therapist in Saint John, IN