Katarina Renee Wisniewski, PT, DPT in Broomfield, CO - Medicare Physical Therapist Provider

Katarina Renee Wisniewski, PT, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Broomfield, Colorado. Her current practice location is 10081 Wadsworth Pkwy Ste 120, Broomfield, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 465-0084.

Katarina Renee Wisniewski is licensed to practice in Colorado (license number 0016442) 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 1669033940.

Contact Information

	Katarina Renee Wisniewski, PT, DPT
	10081 Wadsworth Pkwy Ste 120, Broomfield, CO 80021-3827
	(303) 465-0084
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katarina Renee Wisniewski
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	10081 Wadsworth Pkwy Ste 120, Broomfield, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669033940
Provider Enumeration Date: 06/26/2019
Last Update Date: 06/26/2019

Medicare PECOS Information:

PECOS PAC ID: 3870027246
Enrollment ID: I20241107000897

Medical Identifiers

Medical identifiers for Katarina Renee Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669033940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	0016442 (Colorado)	Secondary
2251X0800X	Physical Therapist - Orthopedic	0016442 (Colorado)	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. Katarina Renee Wisniewski allows following entities to bill medicare on her behalf.

Provider Name	Intermountain Medical Group Denver, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131

Provider Name	Colorado Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891461125 PECOS PAC ID: 7517363617 Enrollment ID: O20210914002694

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. Katarina Renee Wisniewski 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
Katarina Renee Wisniewski, PT, DPT 2600 W 103rd Ave Apt 1223, Federal Heights, CO 80260-6197 Ph: () -	Katarina Renee Wisniewski, PT, DPT 10081 Wadsworth Pkwy Ste 120, Broomfield, CO 80021-3827 Ph: (303) 465-0084

Reviews and Comments

Physical Therapist in Broomfield, CO

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Katarina Renee Wisniewski, PT, DPT - Medicare Physical Therapist in Broomfield, CO