Nicholas E Wildi, in Portland, OR - Medicare Physical Therapist Provider

Nicholas E Wildi, is a medicare enrolled "Physical Therapist" provider in Portland, Oregon. His current practice location is 1034 Se 96th Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 546-7640.

Nicholas E Wildi is licensed to practice in Oregon (license number 63117) 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 1265991988.

Contact Information

	Nicholas E Wildi,
	1034 Se 96th Ave, Portland, OR 97216-1150
	(503) 546-7640
	(503) 546-7641

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas E Wildi
Gender	Male
Speciality	Physical Therapist
Location	1034 Se 96th Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265991988
Provider Enumeration Date: 03/13/2019
Last Update Date: 03/13/2019

Medicare PECOS Information:

PECOS PAC ID: 4880936376
Enrollment ID: I20190502002295

Medical Identifiers

Medical identifiers for Nicholas E Wildi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265991988	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	63117 (Oregon)	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. Nicholas E Wildi allows following entities to bill medicare on his behalf.

Provider Name	Benchmark Physical Therapy Of Oregon Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801257191 PECOS PAC ID: 0143510602 Enrollment ID: O20160613001008

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 E Wildi 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 E Wildi, 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: (423) 682-8840	Nicholas E Wildi, 1034 Se 96th Ave, Portland, OR 97216-1150 Ph: (503) 546-7640

Reviews and Comments

Physical Therapist in Portland, OR

Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500

Nicholas E Wildi, - Medicare Physical Therapist in Portland, OR