Mr Edward V Van Dewater, MPT CSCS in Mount Pleasant, WI - Medicare Physical Therapy Provider

Mr Edward V Van Dewater, MPT CSCS is a medicare enrolled "Physical Therapist" provider in Mount Pleasant, Wisconsin. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Advanced Spine And Sport and his current practice location is 6222 Washington Ave, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 884-6418.

Mr Edward V Van Dewater is licensed to practice in Wisconsin (license number 9822-024) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083772529.

Contact Information

	Mr Edward V Van Dewater, MPT CSCS
	6222 Washington Ave, Mount Pleasant, WI 53406-3948
	(262) 884-6418
	(262) 884-6489

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Edward V Van Dewater
Gender	Male
Speciality	Physical Therapy
Experience	23 Years
Location	6222 Washington Ave, Mount Pleasant, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Edward V Van Dewater graduated from medical school in 2001

NPI Data:

NPI Number: 1083772529
Provider Enumeration Date: 12/05/2006
Last Update Date: 11/21/2021

Medicare PECOS Information:

PECOS PAC ID: 2062316979
Enrollment ID: I20031121000811

Medical Identifiers

Medical identifiers for Mr Edward V Van Dewater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083772529	NPI	-	NPPES
40407400	Medicaid	WI
9822-024	Other	WI	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9822-024 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Spine And Sport	6800895855	5

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. Mr Edward V Van Dewater allows following entities to bill medicare on his behalf.

Provider Name	Advanced Spine And Sport
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033277553 PECOS PAC ID: 6800895855 Enrollment ID: O20061220000416

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. Mr Edward V Van Dewater 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
Mr Edward V Van Dewater, MPT CSCS 6222 Washington Ave, Mount Pleasant, WI 53406-3948 Ph: (262) 884-6418	Mr Edward V Van Dewater, MPT CSCS 6222 Washington Ave, Mount Pleasant, WI 53406-3948 Ph: (262) 884-6418

Reviews and Comments

Physical Therapist in Mount Pleasant, WI

Cheryl Lasselle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 N Fancher Rd, Mount Pleasant, WI 53406 Phone: 262-886-1956
Mark Stephen Suthoff, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5502 Washington Ave Ste 500, Mount Pleasant, WI 53406 Phone: 262-637-2470
Taylour R Iding, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5340 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-638-1272 Fax: 262-638-1287
Advanced Spine And Sport Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 6222 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-6418 Fax: 262-884-6489
Dr. Joshua Vincent Egle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1103 Hunter Dr Ste 101, Mount Pleasant, WI 53406 Phone: 262-800-4440 Fax: 262-800-4434
Extend Physical Therapy And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1648 Kuiper Ln, Mount Pleasant, WI 53406 Phone: 262-902-7881
Andrew James Hajduk, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5502 Washington Ave, Suite 500, Mount Pleasant, WI 53406 Phone: 262-637-2470

Mr Edward V Van Dewater, MPT CSCS - Medicare Physical Therapist in Mount Pleasant, WI