Mrs Myra Marie Burkhardt, PT in West Salem, WI - Medicare Physical Therapist Provider

Mrs Myra Marie Burkhardt, PT is a medicare enrolled "Physical Therapist" provider in West Salem, Wisconsin. Her current practice location is 1540 Heritage Blvd, Suite 101a, West Salem, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 786-4989.

Mrs Myra Marie Burkhardt is licensed to practice in Wisconsin (license number 3650-024) 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 1992813117.

Contact Information

	Mrs Myra Marie Burkhardt, PT
	1540 Heritage Blvd, Suite 101a, West Salem, WI 54669-1417
	(608) 786-4989
	(608) 786-2321

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Myra Marie Burkhardt
Gender	Female
Speciality	Physical Therapist
Location	1540 Heritage Blvd, West Salem, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992813117
Provider Enumeration Date: 08/28/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 7911081427
Enrollment ID: I20080222000064

Medical Identifiers

Medical identifiers for Mrs Myra Marie Burkhardt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992813117	NPI	-	NPPES
3650-024	Other	WI	WI STATE PT LICENSE #
5722	Other	MN	MN STATE LICENSE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3650-024 (Wisconsin)	Primary
225100000X	Physical Therapist	5722 (Minnesota)	Secondary

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. Mrs Myra Marie Burkhardt allows following entities to bill medicare on her behalf.

Provider Name	Burkhardt Physical Therapy Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710163878 PECOS PAC ID: 1557445061 Enrollment ID: O20080222000068

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. Mrs Myra Marie Burkhardt 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
Mrs Myra Marie Burkhardt, PT 23477 County Highway Y, Rockland, WI 54653-8707 Ph: (608) 486-4090	Mrs Myra Marie Burkhardt, PT 1540 Heritage Blvd, Suite 101a, West Salem, WI 54669-1417 Ph: (608) 786-4989

Reviews and Comments

Physical Therapist in West Salem, WI

Dr. Alyssa Kay Chmielewski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989
Karen J Bonifas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 713 N Leonard St, West Salem, WI 54669 Phone: 608-786-2274
Anna Lucht, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989
Cynthia Marie Teske, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1540 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989 Fax: 608-786-2321
Lauren Renee Harding, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989
Ms. Melanie Rose Maske, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989
Burkhardt Physical Therapy Center Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1540 Heritage Blvd Ste 101a, West Salem, WI 54669 Phone: 608-786-4989

Mrs Myra Marie Burkhardt, PT - Medicare Physical Therapist in West Salem, WI