Maria Walde-douglas, in Golden Valley, MN - Medicare Physical Therapist Provider

Maria Walde-douglas, is a medicare enrolled "Physical Therapist" provider in Golden Valley, Minnesota. Her current practice location is 6701 Country Club Dr, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-5495.

Maria Walde-douglas is licensed to practice in Minnesota (license number 4551) 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 1316276454.

Contact Information

	Maria Walde-douglas,
	6701 Country Club Dr, Golden Valley, MN 55427-4602
	(952) 993-5495
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maria Walde-douglas
Gender	Female
Speciality	Physical Therapist
Location	6701 Country Club Dr, Golden Valley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316276454
Provider Enumeration Date: 12/21/2009
Last Update Date: 12/21/2009

Medicare PECOS Information:

PECOS PAC ID: 4880739390
Enrollment ID: I20100309000408

Medical Identifiers

Medical identifiers for Maria Walde-douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316276454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4551 (Minnesota)	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. Maria Walde-douglas allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Maria Walde-douglas 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
Maria Walde-douglas, 6465 Wayzata Blvd, Ste 210, St Louis Park, MN 55426-1728 Ph: (952) 993-7340	Maria Walde-douglas, 6701 Country Club Dr, Golden Valley, MN 55427-4602 Ph: (952) 993-5495

Reviews and Comments

Physical Therapist in Golden Valley, MN

Nicole Kraemer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-520-0540
Janice Patricia Kehler, PT MSC MA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Courage Center, Golden Valley, MN 55422 Phone: 763-588-0811 Fax: 763-520-0355
Dr. Kristin Lee Johnson, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 Country Club Dr, Golden Valley, MN 55427 Phone: 952-993-5495
Eric Stavenger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6902
Paul Larry Melsness, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-520-0449
Alexandra Pantelis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Rd, Golden Valley, MN 55422 Phone: 612-775-2499
Lance Briard, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8301 Golden Valley Rd Ste 202, Golden Valley, MN 55427 Phone: 507-227-9685 Fax: 612-365-0307

Maria Walde-douglas, - Medicare Physical Therapist in Golden Valley, MN