Nicholas B Wildman, PT, DPT in Eureka, MO - Medicare Physical Therapy Provider

Nicholas B Wildman, PT, DPT is a medicare enrolled "Physical Therapist" provider in Eureka, Missouri. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Athletico Ltd and his current practice location is 217 E 5th St, Eureka, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 549-0151.

Nicholas B Wildman is licensed to practice in Missouri (license number 2021036930) 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 1033870860.

Contact Information

	Nicholas B Wildman, PT, DPT
	217 E 5th St, Eureka, MO 63025-1223
	(636) 549-0151
	(636) 549-0152

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas B Wildman
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	217 E 5th St, Eureka, Missouri
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:

Nicholas B Wildman graduated from medical school in 2021

NPI Data:

NPI Number: 1033870860
Provider Enumeration Date: 01/04/2022
Last Update Date: 01/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5890186654
Enrollment ID: I20220105001423

Medical Identifiers

Medical identifiers for Nicholas B Wildman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033870860	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2021036930 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletico Ltd	4789602681	1963

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. Nicholas B Wildman allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357

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. Nicholas B Wildman 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
Nicholas B Wildman, PT, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980	Nicholas B Wildman, PT, DPT 217 E 5th St, Eureka, MO 63025-1223 Ph: (636) 549-0151

Reviews and Comments

Physical Therapist in Eureka, MO

Amanda M Nahlik, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 217 E 5th St, Eureka, MO 63025 Phone: 636-549-0151 Fax: 636-549-0152
Arthur J Mcalister, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 322 N Central Ave, Eureka, MO 63025 Phone: 636-938-4065
Bradly Tiehes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 217 E 5th St, Eureka, MO 63025 Phone: 636-549-0151 Fax: 636-549-0152
Justine Alane Wiles, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 179 Eureka Towne Center Dr, Eureka, MO 63025 Phone: 636-206-6725
Mrs. Kim Miller, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Hilltop Village Center Dr, Suite B, Eureka, MO 63025 Phone: 636-938-9373 Fax: 636-938-9373
Athletico Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 217 E 5th St, Eureka, MO 63025 Phone: 636-549-0151 Fax: 636-549-0152

Nicholas B Wildman, PT, DPT - Medicare Physical Therapist in Eureka, MO