Trevor M Mcculley, DPT is a medicare enrolled "Physical Therapist" provider in Kohler, Wisconsin. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice St. Nicholas Hospital-sisters Of The Third Order Of St Francis and his current practice location is
950 Woodlake Rd, Kohler, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 496-4700.
Trevor M Mcculley is licensed to practice in * (Not Available) (license number ) 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 1780105478.
Healthcare Provider's Profile
| Full Name | Trevor M Mcculley |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 8 Years |
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| Location | 950 Woodlake Rd, Kohler, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Trevor M Mcculley graduated from medical school in 2017
NPI Data:
- NPI Number: 1780105478
- Provider Enumeration Date: 07/03/2017
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4486912128
- Enrollment ID: I20171229001156
Medical Identifiers
Medical identifiers for Trevor M Mcculley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780105478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St. Nicholas Hospital-sisters Of The Third Order Of St Francis | 8325931652 | 151 |
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. Trevor M Mcculley allows following entities to bill medicare on his behalf.
| Provider Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172 |
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| Provider Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423 |
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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. Trevor M Mcculley 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 |
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Trevor M Mcculley, DPT
Po Box 19070,
Green Bay, WI 54307-9070
Ph: (920) 496-4700 | Trevor M Mcculley, DPT
950 Woodlake Rd,
Kohler, WI 53044-1348
Ph: (920) 496-4700 |
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