Kamelia Leandra Wise, PT in Saint Clair Shores, MI - Medicare Physical Therapist Provider

Kamelia Leandra Wise, PT is a medicare enrolled "Physical Therapist" provider in Saint Clair Shores, Michigan. Her current practice location is 24345 Harper Ave, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 563-3300.

Kamelia Leandra Wise is licensed to practice in Michigan (license number 5501015166) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588981153.

Contact Information

	Kamelia Leandra Wise, PT
	24345 Harper Ave, Saint Clair Shores, MI 48080-1285
	(586) 563-3300
	(586) 563-3313

Map and Direction

Healthcare Provider's Profile

Full Name	Kamelia Leandra Wise
Gender	Female
Speciality	Physical Therapist
Location	24345 Harper Ave, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588981153
Provider Enumeration Date: 04/22/2010
Last Update Date: 11/02/2010

Medicare PECOS Information:

PECOS PAC ID: 3971795964
Enrollment ID: I20101008000680

Medical Identifiers

Medical identifiers for Kamelia Leandra Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588981153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501015166 (Michigan)	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. Kamelia Leandra Wise allows following entities to bill medicare on her behalf.

Provider Name	The Wise Decision Fitness & Wellness
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215668843 PECOS PAC ID: 6002281789 Enrollment ID: O20230411001807

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. Kamelia Leandra Wise 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
Kamelia Leandra Wise, PT 20251 Stotter St, Detroit, MI 48234-3192 Ph: (202) 904-7555	Kamelia Leandra Wise, PT 24345 Harper Ave, Saint Clair Shores, MI 48080-1285 Ph: (586) 563-3300

Reviews and Comments

Physical Therapist in Saint Clair Shores, MI

Sachin Venkatachalam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23829 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-773-1300
Carey Ryan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24345 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-563-3300 Fax: 586-563-3313
Kathi Piepenbrok, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23161 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-779-8892 Fax: 586-779-2869
Alexis Rushton Motycka, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25311 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-771-4900 Fax: 586-771-4993
Donna Tavalieri, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19505 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-8200 Fax: 586-445-8201
Madhavi Prakash Vachhani, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29150 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-779-0911 Fax: 586-779-0907
Mrs. Chelsea M Hoffmeyer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748

Kamelia Leandra Wise, PT - Medicare Physical Therapist in Saint Clair Shores, MI