Stefanie N Weyenberg, DPT in Lake Geneva, WI - Medicare Physical Therapist Provider

Stefanie N Weyenberg, DPT is a medicare enrolled "Physical Therapist" provider in Lake Geneva, Wisconsin. Her current practice location is N2950 State Road 67, Lake Geneva, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 245-4980.

Stefanie N Weyenberg is licensed to practice in Wisconsin (license number 13822-24) 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 1447776950.

Contact Information

	Stefanie N Weyenberg, DPT
	N2950 State Road 67, Lake Geneva, WI 53147-2655
	(262) 245-4980
	(262) 245-2248

Map and Direction

Healthcare Provider's Profile

Full Name	Stefanie N Weyenberg
Gender	Female
Speciality	Physical Therapist
Location	N2950 State Road 67, Lake Geneva, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447776950
Provider Enumeration Date: 08/16/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1052684347
Enrollment ID: I20170908000497

Medical Identifiers

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

Identifier	Type	State	Issuer
1447776950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13822-24 (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. Stefanie N Weyenberg allows following entities to bill medicare on her behalf.

Provider Name	Prohealth Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066

Provider Name	Mercy Health System Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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. Stefanie N 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
Stefanie N Weyenberg, DPT N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-4980	Stefanie N Weyenberg, DPT N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-4980

Reviews and Comments

Physical Therapist in Lake Geneva, WI

Erin E Mahoney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500
Matthew Allen Hoffman, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500
Madalyn R Douglas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4980 Fax: 262-245-2248
Kelly J Pauley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535
Kimberly K Dama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535
Mrs. Tara M. Grocholski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500
Carling M. Johns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 800-638-2901 Fax: 262-245-2248

Stefanie N Weyenberg, DPT - Medicare Physical Therapist in Lake Geneva, WI