Mrs Tracy Lee Waggoner, MPT - Medicare Physical Therapist in Hutsonville, IL

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Mrs Tracy Lee Waggoner, MPT is a medicare enrolled "Physical Therapist" provider in Hutsonville, Illinois. Her current practice location is 609 N Pleasant St, Hutsonville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 563-9395.

Mrs Tracy Lee Waggoner is licensed to practice in Illinois (license number ) 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 1487856548.

Contact Information

Mrs Tracy Lee Waggoner, MPT
609 N Pleasant St,
Hutsonville, IL 62433-1119
(618) 563-9395
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Tracy Lee Waggoner
GenderFemale
SpecialityPhysical Therapist
Location609 N Pleasant St, Hutsonville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487856548
  • Provider Enumeration Date: 06/01/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9830421528
  • Enrollment ID: I20191030000647

Medical Identifiers

Medical identifiers for Mrs Tracy Lee Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487856548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (Illinois)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. Mrs Tracy Lee Waggoner allows following entities to bill medicare on her behalf.
Provider NameAthletic And Therapeutic Institute Of Naperville, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1023129681
PECOS PAC ID: 8325014020
Enrollment ID: O20040903000494
Provider NameAthletic And Therapeutic Institute Of Bourbonnais, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1861503542
PECOS PAC ID: 4183692577
Enrollment ID: O20040923000220

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 Tracy Lee Waggoner 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 AddressPractice Location Address
Mrs Tracy Lee Waggoner, MPT
1000 N Allen St,
Robinson, IL 62454-1167

Ph: (618) 546-2695		Mrs Tracy Lee Waggoner, MPT
609 N Pleasant St,
Hutsonville, IL 62433-1119

Ph: (618) 563-9395

Reviews and Comments


Physical Therapist in Hutsonville, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.