Walter Trevor Wilczynski, DPT is a medicare enrolled "Physical Therapist" provider in Jeddo, Michigan. His current practice location is
8861 Babcock Rd, Jeddo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 335-5366.
Walter Trevor Wilczynski is licensed to practice in * (Not Available) (license number ) 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 1760265854.
Healthcare Provider's Profile
Full Name | Walter Trevor Wilczynski |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 8861 Babcock Rd, Jeddo, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760265854
- Provider Enumeration Date: 08/14/2023
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365896784
- Enrollment ID: I20231003002608
Medical Identifiers
Medical identifiers for Walter Trevor Wilczynski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760265854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | 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. Walter Trevor Wilczynski allows following entities to bill medicare on his behalf.
Provider Name | Multicare Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
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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. Walter Trevor Wilczynski 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 |
Walter Trevor Wilczynski, DPT 8861 Babcock Rd, Jeddo, MI 48032-8206 Ph: (810) 335-5366 | Walter Trevor Wilczynski, DPT 8861 Babcock Rd, Jeddo, MI 48032-8206 Ph: (810) 335-5366 |
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