Samantha Weyenberg, PT, DPT in Fitchburg, WI - Medicare Physical Therapist Provider

Samantha Weyenberg, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fitchburg, Wisconsin. Her current practice location is 2927 S Fish Hatchery Rd, Fitchburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 819-6394.

Samantha Weyenberg is licensed to practice in Wisconsin (license number 16090-24) 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 1497477855.

Contact Information

	Samantha Weyenberg, PT, DPT
	2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498
	(608) 819-6394
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Weyenberg
Gender	Female
Speciality	Physical Therapist
Location	2927 S Fish Hatchery Rd, Fitchburg, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497477855
Provider Enumeration Date: 09/13/2022
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8426499302
Enrollment ID: I20240509000620

Medical Identifiers

Medical identifiers for Samantha Weyenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497477855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	16090-24 (Wisconsin)	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. Samantha Weyenberg allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Wi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309

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. Samantha Weyenberg 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
Samantha Weyenberg, PT, DPT 2105 Davis Hills Dr, Verona, WI 53593-9779 Ph: () -	Samantha Weyenberg, PT, DPT 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 Ph: (608) 819-6394

Reviews and Comments

Physical Therapist in Fitchburg, WI

Anna Ruhland, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2927 S Fish Hatchery Rd, Fitchburg, WI 53711 Phone: 608-819-6394
Heidi L Eckstein, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2875 Fish Hatchery Rd, Fitchburg, WI 53713 Phone: 608-204-6244 Fax: 608-204-6249
Samantha Jo Boll, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2927 S Fish Hatchery Rd, Fitchburg, WI 53711 Phone: 608-819-6394
Kristin Wait, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2927 S Fish Hatchery Rd, Fitchburg, WI 53711 Phone: 608-819-6394
Peak Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5973 Executive Dr, Fitchburg, WI 53719 Phone: 608-334-3334 Fax: 608-268-0745
Jennifer C Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2875 Fish Hatchery Rd, Fitchburg, WI 53713 Phone: 608-204-6244 Fax: 608-204-6249
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5440 Caddis Bnd, Fitchburg, WI 53711 Phone: 800-444-6845

Samantha Weyenberg, PT, DPT - Medicare Physical Therapist in Fitchburg, WI