Ms Lacey Wise, PT - Medicare Physical Therapist in Castle Rock, WA

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Ms Lacey Wise, PT is a medicare enrolled "Physical Therapist" provider in Castle Rock, Washington. Her current practice location is 1316 Mt Saint Helens Way Se, Suite B, Castle Rock, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 557-8020.

Ms Lacey Wise is licensed to practice in Washington (license number PT61342050) 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 1154830677.

Contact Information

Ms Lacey Wise, PT
1316 Mt Saint Helens Way Se, Suite B,
Castle Rock, WA 98611
(360) 557-8020
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Lacey Wise
GenderFemale
SpecialityPhysical Therapist
Location1316 Mt Saint Helens Way Se, Castle Rock, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154830677
  • Provider Enumeration Date: 09/27/2017
  • Last Update Date: 03/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961746490
  • Enrollment ID: I20230811002140

Medical Identifiers

Medical identifiers for Ms Lacey Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154830677NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT61342050 (Washington)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. Ms Lacey Wise allows following entities to bill medicare on her behalf.
Provider NameCentralia Physical Therapy Inc Ps
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952666315
PECOS PAC ID: 0648429688
Enrollment ID: O20121005000577

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. Ms Lacey Wise 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
Ms Lacey Wise, PT
1817 S Market Blvd Ste C,
Chehalis, WA 98532-4100

Ph: (360) 996-4410		Ms Lacey Wise, PT
1316 Mt Saint Helens Way Se, Suite B,
Castle Rock, WA 98611

Ph: (360) 557-8020

Reviews and Comments


Physical Therapist in Castle Rock, WA

Pt Northwest Of Longview Inc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 20 Cowlitz, Castle Rock, WA 98611
Phone: 360-274-4550    Fax: 360-274-4548
Allison Lunday, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 223 Studebaker Spur 1, Castle Rock, WA 98611
Phone: 253-820-1322    

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.