Logan Mckenzie Widvey, PT in Pierre, SD - Medicare Physical Therapist Provider

Logan Mckenzie Widvey, PT is a medicare enrolled "Physical Therapist" provider in Pierre, South Dakota. Her current practice location is 801 E Sioux Ave, Pierre, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 224-3162.

Logan Mckenzie Widvey is licensed to practice in South Dakota (license number 2427) 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 1649047754.

Contact Information

	Logan Mckenzie Widvey, PT
	801 E Sioux Ave, Pierre, SD 57501-3323
	(605) 224-3162
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Logan Mckenzie Widvey
Gender	Female
Speciality	Physical Therapist
Location	801 E Sioux Ave, Pierre, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649047754
Provider Enumeration Date: 12/08/2023
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6800249384
Enrollment ID: I20240131003982

Medical Identifiers

Medical identifiers for Logan Mckenzie Widvey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649047754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2427 (South Dakota)	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. Logan Mckenzie Widvey allows following entities to bill medicare on her behalf.

Provider Name	Avera St Marys
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579

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. Logan Mckenzie Widvey 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
Logan Mckenzie Widvey, PT 801 E Sioux Ave, Pierre, SD 57501-3323 Ph: (605) 224-3162	Logan Mckenzie Widvey, PT 801 E Sioux Ave, Pierre, SD 57501-3323 Ph: (605) 224-3162

Reviews and Comments

Physical Therapist in Pierre, SD

Mr. Douglas Alan Hackett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1112 E Sully Ave, Pierre, SD 57501 Phone: 605-786-3374
Jamy Ann Jones, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 N Harrison Ave, Suite 2a, Pierre, SD 57501 Phone: 605-224-8415 Fax: 605-224-8457
Carly Jo Schroer Swartz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3162
Amy Weller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3162
Katelynn Nicole Warejcka, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1950 E 4th St, Pierre, SD 57501 Phone: 605-945-6121
Katey Amanda Lukkes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1950 E 4th St, Pierre, SD 57501 Phone: 605-945-6121
Tim Wald, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1012 Woodview Dr #20, Pierre, SD 57501 Phone: 605-224-4443

Logan Mckenzie Widvey, PT - Medicare Physical Therapist in Pierre, SD