Theodore Azar, in Kenosha, WI - Medicare Physical Therapist Provider

Theodore Azar, is a medicare enrolled "Physical Therapist" provider in Kenosha, Wisconsin. His current practice location is 3535 30th Ave Ste 101, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 657-7071.

Theodore Azar is licensed to practice in Wisconsin (license number 16267-24) 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 1083303788.

Contact Information

	Theodore Azar,
	3535 30th Ave Ste 101, Kenosha, WI 53144-1632
	(262) 657-7071
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theodore Azar
Gender	Male
Speciality	Physical Therapist
Location	3535 30th Ave Ste 101, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083303788
Provider Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3678930021
Enrollment ID: I20230531001100

Medical Identifiers

Medical identifiers for Theodore Azar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083303788	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	16267-24 (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. Theodore Azar allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433

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. Theodore Azar 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
Theodore Azar, 3535 30th Ave Ste 101, Kenosha, WI 53144-1632 Ph: (262) 657-7071	Theodore Azar, 3535 30th Ave Ste 101, Kenosha, WI 53144-1632 Ph: (262) 657-7071

Reviews and Comments

Physical Therapist in Kenosha, WI

Lindsay B.n. Laubmeier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave, Suite 103, Kenosha, WI 53144 Phone: 262-657-7071 Fax: 262-657-0632
Mrs. Sherry M Clifton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1218 79th St, Kenosha, WI 53143 Phone: 262-658-9500
Jeffrey S Serchen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7540 22nd Ave, Kenosha, WI 53143 Phone: 262-656-7800
Morgan P Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave Ste 103, Kenosha, WI 53144 Phone: 262-657-7071
Kenosha Achievement Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1218 79th St, Kenosha, WI 53143 Phone: 262-658-9500 Fax: 262-658-9621
Tyler Raymaker, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3701 80th St, Kenosha, WI 53142 Phone: 262-697-1730
Erika M Kurzac, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3535 30th Ave Ste 101, Kenosha, WI 53144 Phone: 262-657-7071

Theodore Azar, - Medicare Physical Therapist in Kenosha, WI