Afton Rose Wise, DPT in St Louis Park, MN - Medicare Physical Therapist Provider

Afton Rose Wise, DPT is a medicare enrolled "Physical Therapist" provider in St Louis Park, Minnesota. Her current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-5000.

Afton Rose Wise is licensed to practice in Minnesota (license number 13601) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033942834.

Contact Information

	Afton Rose Wise, DPT
	6500 Excelsior Blvd, St Louis Park, MN 55426-4700
	(952) 993-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Afton Rose Wise
Gender	Female
Speciality	Physical Therapist
Location	6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033942834
Provider Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8527595545
Enrollment ID: I20250102001463

Medical Identifiers

Medical identifiers for Afton Rose Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033942834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13601 (Minnesota)	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. Afton Rose Wise allows following entities to bill medicare on her behalf.

Provider Name	Tria Orthopaedic Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999

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. Afton Rose Wise 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
Afton Rose Wise, DPT 2793 128th Ave Nw, Coon Rapids, MN 55448-1162 Ph: (763) 443-5850	Afton Rose Wise, DPT 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 Ph: (952) 993-5000

Reviews and Comments

Physical Therapist in St Louis Park, MN

Mary Katherine Kosanda, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6014
Sarah Sween Ramer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300
Jennifer A Deutz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Nicole Williams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3912 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-835-4512 Fax: 888-425-0398
Angela Marie Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Life Clinic, P.a. Physical Therapist Medicare: Medicare Enrolled Practice Location: 5525 Cedar Lake Rd S, St Louis Park, MN 55416 Phone: 651-690-0866

Afton Rose Wise, DPT - Medicare Physical Therapist in St Louis Park, MN