Kourtney Wallick, PT, DPT in Warren, RI - Medicare Physical Therapy Provider

Kourtney Wallick, PT, DPT is a medicare enrolled "Physical Therapist" provider in Warren, Rhode Island. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Silver Fern Practice Llc and her current practice location is 91 Main St Ste 122, Warren, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 289-2999.

Kourtney Wallick is licensed to practice in Rhode Island (license number PT02767) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750788527.

Contact Information

	Kourtney Wallick, PT, DPT
	91 Main St Ste 122, Warren, RI 02885-4437
	(401) 289-2999
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kourtney Wallick
Gender	Female
Speciality	Physical Therapy
Experience	10 Years
Location	91 Main St Ste 122, Warren, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kourtney Wallick graduated from medical school in 2014

NPI Data:

NPI Number: 1750788527
Provider Enumeration Date: 11/22/2014
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 2466771993
Enrollment ID: I20150506000076

Medical Identifiers

Medical identifiers for Kourtney Wallick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750788527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	PT02767 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Silver Fern Practice Llc	1658266515	124

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. Kourtney Wallick allows following entities to bill medicare on her behalf.

Provider Name	Silver Fern Practice Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1851472914 PECOS PAC ID: 1658266515 Enrollment ID: O20120813000580

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. Kourtney Wallick 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
Kourtney Wallick, PT, DPT 4 Richmond Sq Ste 200, Providence, RI 02906-5117 Ph: () -	Kourtney Wallick, PT, DPT 91 Main St Ste 122, Warren, RI 02885-4437 Ph: (401) 289-2999

Reviews and Comments

Physical Therapist in Warren, RI

Highbar Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 91 Main St Ste 122, Warren, RI 02885 Phone: 401-289-2999 Fax: 401-289-2950
Nicholas Grillo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 Metacom Ave, Warren, RI 02885 Phone: 401-903-2167 Fax: 401-903-4976
Sawyer Stapp, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 426 Metacom Ave, Warren, RI 02885 Phone: 401-903-2167 Fax: 401-903-4976
Samantha Welchman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 Metacom Ave, Warren, RI 02885 Phone: 401-903-2167 Fax: 401-903-4976
John Michael Ware, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 611 Metacom Ave, Warren, RI 02885 Phone: 401-245-9660 Fax: 401-245-8590
Erin Ortiz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Shore Dr, Warren, RI 02885 Phone: 802-233-0515
Dr. Lacey Ailene Young, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 642 Metacom Ave, Warren, RI 02885 Phone: 401-245-2860

Kourtney Wallick, PT, DPT - Medicare Physical Therapist in Warren, RI