Witold Jan Mierzwa, PT is a medicare enrolled "Physical Therapist" provider in Merrionette Park, Illinois. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
11600 S Kedzie Ave, Suite K, Merrionette Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 371-6441.
Witold Jan Mierzwa 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 1730254004.
Healthcare Provider's Profile
| Full Name | Witold Jan Mierzwa |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 32 Years |
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| Location | 11600 S Kedzie Ave, Merrionette Park, Illinois |
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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:
- Witold Jan Mierzwa graduated from medical school in 1992
NPI Data:
- NPI Number: 1730254004
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8325091176
- Enrollment ID: I20050222000409
Medical Identifiers
Medical identifiers for Witold Jan Mierzwa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730254004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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. Witold Jan Mierzwa allows following entities to bill medicare on his behalf.
| Provider Name | Dynamic Physiotherapy Services Corp |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1497090302
PECOS PAC ID: 1052553534
Enrollment ID: O20130813000388 |
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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. Witold Jan Mierzwa 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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Witold Jan Mierzwa, PT
11600 S Kedzie Ave, Suite K,
Merrionette Park, IL 60803
Ph: (708) 371-6441 | Witold Jan Mierzwa, PT
11600 S Kedzie Ave, Suite K,
Merrionette Park, IL 60803
Ph: (708) 371-6441 |
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