Kallie A Wikman, DPT - Medicare Physical Therapist in Vancouver, WA

Kallie A Wikman, DPT is a medicare enrolled "Physical Therapist" provider in Vancouver, Washington. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice New Proactive Llc and his current practice location is 100 E 33rd St Ste 204, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 823-0138.

Kallie A Wikman is licensed to practice in Washington (license number PT60989646) 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 1083109755.

Contact Information

Kallie A Wikman, DPT
100 E 33rd St Ste 204,
Vancouver, WA 98663
(360) 823-0138
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKallie A Wikman
GenderMale
SpecialityPhysical Therapy
Experience7 Years
Location100 E 33rd St Ste 204, Vancouver, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kallie A Wikman graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1083109755
  • Provider Enumeration Date: 06/26/2018
  • Last Update Date: 09/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0446509137
  • Enrollment ID: I20191122000828

Medical Identifiers

Medical identifiers for Kallie A Wikman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083109755NPI-NPPES
PT294922OtherCAPT LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT294922 (California)Secondary
225100000XPhysical Therapist PT60989646 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New Proactive Llc731521870836

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. Kallie A Wikman allows following entities to bill medicare on his behalf.
Provider NameNew Proactive Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1396273199
PECOS PAC ID: 7315218708
Enrollment ID: O20170803000697

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. Kallie A Wikman 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 AddressPractice Location Address
Kallie A Wikman, DPT
1480 Ne Village St,
Fairview, OR 97024-3827

Ph: (503) 489-1174
Kallie A Wikman, DPT
100 E 33rd St Ste 204,
Vancouver, WA 98663

Ph: (360) 823-0138

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.