Cody Wickenhauser, PT, DPT in Bloomington, IL - Medicare Physical Therapy Provider

Cody Wickenhauser, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bloomington, Illinois. He went to Washington University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Orthopedic And Sports Enhancement Center, Llc and his current practice location is 2406 E Empire St, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 663-9300.

Cody Wickenhauser is licensed to practice in Illinois (license number 070.021534) 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 1811364052.

Contact Information

	Cody Wickenhauser, PT, DPT
	2406 E Empire St, Bloomington, IL 61704-3630
	(309) 663-9300
	(309) 663-6993

Map and Direction

Healthcare Provider's Profile

Full Name	Cody Wickenhauser
Gender	Male
Speciality	Physical Therapy
Experience	9 Years
Location	2406 E Empire St, Bloomington, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cody Wickenhauser attended and graduated from Washington University School Of Medicine in 2015

NPI Data:

NPI Number: 1811364052
Provider Enumeration Date: 08/24/2015
Last Update Date: 08/24/2015

Medicare PECOS Information:

PECOS PAC ID: 7810296837
Enrollment ID: I20160426001185

Medical Identifiers

Medical identifiers for Cody Wickenhauser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811364052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070.021534 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic And Sports Enhancement Center, Llc	3375638695	10

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. Cody Wickenhauser allows following entities to bill medicare on his behalf.

Provider Name	Orthopedic And Sports Enhancement Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003900820 PECOS PAC ID: 3375638695 Enrollment ID: O20071002000477

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. Cody Wickenhauser 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
Cody Wickenhauser, PT, DPT 2406 E Empire St, Bloomington, IL 61704-3630 Ph: (309) 663-9300	Cody Wickenhauser, PT, DPT 2406 E Empire St, Bloomington, IL 61704-3630 Ph: (309) 663-9300

Reviews and Comments

Physical Therapist in Bloomington, IL

Ms. Mary Claire Biles, PT, MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422
Mrs. Patricia O'meara, MPT, NDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422
Edward Ericksen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461
Christopher Scot Byers, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-661-8823
Ms. Gretchen Dean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 217-326-2911 Fax: 217-344-8047
Dr. Alissa Recker, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-661-8107
Ms. Abby L Curtis, PT, MS, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Trinity Lane, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-661-8107

Cody Wickenhauser, PT, DPT - Medicare Physical Therapist in Bloomington, IL