Mr Matthew J Vanderkooi, PT in Portage, WI - Medicare Physical Therapist Provider

Mr Matthew J Vanderkooi, PT is a medicare enrolled "Physical Therapist" provider in Portage, Wisconsin. His current practice location is 2639 New Pinery Rd, Suite 2, Portage, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 742-9356.

Mr Matthew J Vanderkooi is licensed to practice in Wisconsin (license number 5434) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932180775.

Contact Information

	Mr Matthew J Vanderkooi, PT
	2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110
	(608) 742-9356
	(608) 742-9358

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Matthew J Vanderkooi
Gender	Male
Speciality	Physical Therapist
Location	2639 New Pinery Rd, Portage, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932180775
Provider Enumeration Date: 11/09/2005
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 3870576275
Enrollment ID: I20050209000790

Medical Identifiers

Medical identifiers for Mr Matthew J Vanderkooi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932180775	NPI	-	NPPES
40377900	Medicaid	WI
P00230916	Other	WI	RAILROAD MEDICARE INDIV #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5434 (Wisconsin)	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. Mr Matthew J Vanderkooi allows following entities to bill medicare on his behalf.

Provider Name	New Life Physical Therapy & Sports Medicine Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467499939 PECOS PAC ID: 2567413339 Enrollment ID: O20050209000470

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 Matthew J Vanderkooi 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 Matthew J Vanderkooi, PT 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 Ph: (608) 742-9356	Mr Matthew J Vanderkooi, PT 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 Ph: (608) 742-9356

Reviews and Comments

Physical Therapist in Portage, WI

Elizabeth Sharron Reddeman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290
Emily Lugo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2815 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290
Kristin Vorpahl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 W Pleasant St, Portage, WI 53901 Phone: 608-745-5910
Edward Rothbauer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd, Suite 2, Portage, WI 53901 Phone: 608-742-9356 Fax: 608-742-9358
Mrs. Sue Lyn Condon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Suite 103, Portage, WI 53901 Phone: 608-745-6211 Fax: 608-745-6250
Kristina Hellenbrand, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2639 New Pinery Road, Suite 2, Portage, WI 53901 Phone: 608-742-9356 Fax: 608-742-9358
Dr. Tanya Lynne Schimek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Suite 103, Portage, WI 53901 Phone: 608-745-6290 Fax: 608-745-6250

Mr Matthew J Vanderkooi, PT - Medicare Physical Therapist in Portage, WI