Alexa Wideman, DPT in Spring Hill, TN - Medicare Physical Therapist Provider

Alexa Wideman, DPT is a medicare enrolled "Physical Therapist" provider in Spring Hill, Tennessee. Her current practice location is 3056 Miles Johnson Pkwy, Spring Hill, Tennessee. You can reach out to her office (for appointments etc.) via phone at (877) 407-3422.

Alexa Wideman is licensed to practice in Tennessee (license number 12841) 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 1073344537.

Contact Information

	Alexa Wideman, DPT
	3056 Miles Johnson Pkwy, Spring Hill, TN 37174-4564
	(877) 407-3422
	(877) 407-4329

Map and Direction

Healthcare Provider's Profile

Full Name	Alexa Wideman
Gender	Female
Speciality	Physical Therapist
Location	3056 Miles Johnson Pkwy, Spring Hill, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073344537
Provider Enumeration Date: 08/08/2024
Last Update Date: 04/26/2025

Medicare PECOS Information:

PECOS PAC ID: 4981139201
Enrollment ID: I20241124000097

Medical Identifiers

Medical identifiers for Alexa Wideman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073344537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	12841 (Tennessee)	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. Alexa Wideman allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Tn Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710406491 PECOS PAC ID: 8921363771 Enrollment ID: O20180525000723

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174308647 PECOS PAC ID: 5193036432 Enrollment ID: O20231018002544

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. Alexa Wideman 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
Alexa Wideman, DPT 3628 Mimosa Ave, Memphis, TN 38111-6112 Ph: () -	Alexa Wideman, DPT 3056 Miles Johnson Pkwy, Spring Hill, TN 37174-4564 Ph: (877) 407-3422

Reviews and Comments

Physical Therapist in Spring Hill, TN

Mary Ann Bullins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3056 Miles Johnson Pkwy, Spring Hill, TN 37174 Phone: 877-407-3422 Fax: 877-407-4329
Mrs. Joanne Shuru-tan Mcginnis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3056 Miles Johnson Pkwy, Spring Hill, TN 37174 Phone: 877-407-3422 Fax: 877-407-4329
Dr. Lauren Jolly, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3011 Longford Dr Ste 7, Spring Hill, TN 37174 Phone: 615-302-8056
Brian Thomas Byrd, DPT, MTC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5010 Spedale Ct, Spring Hill, TN 37174 Phone: 931-486-0599 Fax: 931-486-3962
Tyler John Soltis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5073 Main St Ste 120, Spring Hill, TN 37174 Phone: 615-302-3564 Fax: 615-302-3067
Dr. Shad Morgheim, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1011 Alice Springs Cir, Spring Hill, TN 37174 Phone: 303-514-1599
Dr. Sarah Hanna Zaka, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3056 Miles Johnson Pkwy, Spring Hill, TN 37174 Phone: 877-407-3422 Fax: 877-407-4329

Alexa Wideman, DPT - Medicare Physical Therapist in Spring Hill, TN