Andrew George Dockendorff, DPT in Sparta, WI - Medicare Physical Therapist Provider

Andrew George Dockendorff, DPT is a medicare enrolled "Physical Therapist" provider in Sparta, Wisconsin. His current practice location is 310 West Main Street, Sparta, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 785-0940.

Andrew George Dockendorff is licensed to practice in Wisconsin (license number 15849-24) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689304859.

Contact Information

	Andrew George Dockendorff, DPT
	310 West Main Street, Sparta, WI 54656-2170
	(608) 785-0940
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew George Dockendorff
Gender	Male
Speciality	Physical Therapist
Location	310 West Main Street, Sparta, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689304859
Provider Enumeration Date: 06/12/2022
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5294182598
Enrollment ID: I20231108000867

Medical Identifiers

Medical identifiers for Andrew George Dockendorff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689304859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15849-24 (Wisconsin)	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. Andrew George Dockendorff allows following entities to bill medicare on his behalf.

Provider Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684

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. Andrew George Dockendorff 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
Andrew George Dockendorff, DPT 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511	Andrew George Dockendorff, DPT 310 West Main Street, Sparta, WI 54656-2170 Ph: (608) 785-0940

Reviews and Comments

Physical Therapist in Sparta, WI

Mrs. Ann C Hanson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 W Wisconsin St, Sparta, WI 54656 Phone: 608-269-0555
Krysta Ann Bever, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 W Wisconsin St, Sparta, WI 54656 Phone: 608-269-6731
William Pierce Keane, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S Water St, Sparta, WI 54656 Phone: 608-269-3168
Shannon Leah Rutz, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S Water St, Sparta, WI 54656 Phone: 608-269-3168
Ashlee R Brozak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main Street, Sparta, WI 54656 Phone: 608-269-2132
Kristen K Schmitz, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-269-2132 Fax: 608-269-8110
Alison Vandegrift, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 W Wisconsin St, Sparta, WI 54656 Phone: 608-782-7300

Andrew George Dockendorff, DPT - Medicare Physical Therapist in Sparta, WI