Kayla M Hickok, PT, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Augusta, Wisconsin. Her current practice location is
708 W Washington St, Augusta, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 286-2488.
Kayla M Hickok is licensed to practice in Wisconsin (license number 16451-24) 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 1801573845.
Healthcare Provider's Profile
| Full Name | Kayla M Hickok |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist - Orthopedic |
|---|
| Location | 708 W Washington St, Augusta, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1801573845
- Provider Enumeration Date: 06/30/2023
- Last Update Date: 05/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729448840
- Enrollment ID: I20230720001050
Medical Identifiers
Medical identifiers for Kayla M Hickok such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801573845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 16451-24 (Wisconsin) | 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. Kayla M Hickok allows following entities to bill medicare on her behalf.
| Provider Name | Hickok Rehabilitation Services Llc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1760424113
PECOS PAC ID: 0446355572
Enrollment ID: O20070419000078 |
|---|
| Provider Name | Dpt Holdings Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1689648602
PECOS PAC ID: 4688679293
Enrollment ID: O20100708000581 |
|---|
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. Kayla M Hickok 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 |
|---|
Kayla M Hickok, PT, DPT
24014 W Renwick Rd Unit 206,
Plainfield, IL 60544-8711
Ph: (800) 974-4378 | Kayla M Hickok, PT, DPT
708 W Washington St,
Augusta, WI 54722-9085
Ph: (715) 286-2488 |
Reviews and Comments