Mida N Bautista-dittmar, PT in Peru, IL - Medicare Physical Therapy Provider

Mida N Bautista-dittmar, PT is a medicare enrolled "Physical Therapist" provider in Peru, Illinois. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice City Center Rehabilitation West - Inc. and her current practice location is 1627 4th St, Peru, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 223-4479.

Mida N Bautista-dittmar is licensed to practice in Illinois (license number 70007736) 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 1982714010.

Contact Information

	Mida N Bautista-dittmar, PT
	1627 4th St, Peru, IL 61354-3507
	(815) 223-4479
	(815) 223-4489

Map and Direction

Healthcare Provider's Profile

Full Name	Mida N Bautista-dittmar
Gender	Female
Speciality	Physical Therapy
Experience	32 Years
Location	1627 4th St, Peru, Illinois
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:

Mida N Bautista-dittmar graduated from medical school in 1992

NPI Data:

NPI Number: 1982714010
Provider Enumeration Date: 08/30/2006
Last Update Date: 01/14/2009

Medicare PECOS Information:

PECOS PAC ID: 9335196815
Enrollment ID: I20050406000942

Medical Identifiers

Medical identifiers for Mida N Bautista-dittmar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982714010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	70007736 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
City Center Rehabilitation West - Inc.	6901963164	4

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. Mida N Bautista-dittmar allows following entities to bill medicare on her behalf.

Provider Name	City Center Rehabilitation West - Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396981742 PECOS PAC ID: 6901963164 Enrollment ID: O20090316000501

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. Mida N Bautista-dittmar 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
Mida N Bautista-dittmar, PT Po Box 764, Channahon, IL 60410-0764 Ph: (815) 223-4479	Mida N Bautista-dittmar, PT 1627 4th St, Peru, IL 61354-3507 Ph: (815) 223-4479

Reviews and Comments

Physical Therapist in Peru, IL

Christopher Shane Smith, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 Midtown Road, Peru, IL 61354 Phone: 815-223-8600 Fax: 815-223-4667
City Center Physical Therapy - Peru, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1627 4th St, Peru, IL 61354 Phone: 815-223-4479 Fax: 815-223-4489
Gary Joseph Kistenfeger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Midtown Rd, Peru, IL 61354 Phone: 815-223-8600
Luke Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Rock St, Suite E, Peru, IL 61354 Phone: 815-220-0058 Fax: 815-550-0082
Moira Sibbaluca, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4231 Progress Blvd, Peru, IL 61354 Phone: 815-326-5924
Mr. Spalding L Slevin Iv, PT, CMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1424 Midtown Rd, Peru, IL 61354 Phone: 815-538-1354 Fax: 815-538-1361
Dr. Kory David Tieman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1627 4th St, Peru, IL 61354 Phone: 815-223-4479

Mida N Bautista-dittmar, PT - Medicare Physical Therapist in Peru, IL