Kalyn Wisniewski, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Brecksville, Ohio. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Suburban Physical Therapy, Inc and her current practice location is
6950 S Edgerton Rd, Brecksville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 252-0081.
Kalyn Wisniewski is licensed to practice in Ohio (license number PT017410) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164071122.
Physician's Profile
| Full Name | Kalyn Wisniewski |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 7 Years |
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| Location | 6950 S Edgerton Rd, Brecksville, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kalyn Wisniewski graduated from medical school in 2018
NPI Data:
- NPI Number: 1164071122
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 11/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042620288
- Enrollment ID: I20250221002552
Medical Identifiers
Medical identifiers for Kalyn Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164071122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | PT017410 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Suburban Physical Therapy, Inc | 5991696544 | 13 |
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. Kalyn Wisniewski allows following entities to bill medicare on her behalf.
| Entity Name | Suburban Physical Therapy, Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1255461638 PECOS PAC ID: 5991696544 Enrollment ID: O20230830000315 |
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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. Kalyn Wisniewski 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 |
Kalyn Wisniewski, DPT 118 Quartz Ave, Peninsula, OH 44264-9594 Ph: () - | Kalyn Wisniewski, DPT 6950 S Edgerton Rd, Brecksville, OH 44141-3184 Ph: (440) 252-0081 |
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