Brooklyn Sandow, DPT in Amery, WI - Medicare Physical Therapist Provider

Brooklyn Sandow, DPT is a medicare enrolled "Physical Therapist" provider in Amery, Wisconsin. Her current practice location is 930 Elen Anenue, Amery, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 268-5103.

Brooklyn Sandow is licensed to practice in * (Not Available) (license number ) 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 1689416711.

Contact Information

	Brooklyn Sandow, DPT
	930 Elen Anenue, Amery, WI 54001-1448
	(715) 268-5103
	(715) 263-5101

Map and Direction

Healthcare Provider's Profile

Full Name	Brooklyn Sandow
Gender	Female
Speciality	Physical Therapist
Location	930 Elen Anenue, Amery, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689416711
Provider Enumeration Date: 06/10/2024
Last Update Date: 06/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3173069085
Enrollment ID: I20240726001096

Medical Identifiers

Medical identifiers for Brooklyn Sandow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689416711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Brooklyn Sandow allows following entities to bill medicare on her behalf.

Provider Name	Clear Lake Physical Therapy And Rehab Specialists Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1083845754 PECOS PAC ID: 0749327526 Enrollment ID: O20091027000797

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. Brooklyn Sandow 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
Brooklyn Sandow, DPT Po Box 147, Clear Lake, WI 54005-8905 Ph: (715) 263-4103	Brooklyn Sandow, DPT 930 Elen Anenue, Amery, WI 54001-1448 Ph: (715) 268-5103

Reviews and Comments

Physical Therapist in Amery, WI

Luke Grosskreutz, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Deronda St, Amery, WI 54001 Phone: 715-268-8171
Murad Aslam, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Deronda St, Amery, WI 54001 Phone: 715-268-8171
Anthony R. Gould, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 Keller Ave N, Amery, WI 54001 Phone: 715-268-1001 Fax: 715-268-1002
Becky J Lease, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 Keller Ave S, Amery, WI 54001 Phone: 715-268-6900 Fax: 715-268-6895
Erin M Seifert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Keller Ave N, Amery, WI 54001 Phone: 715-268-0110
Ms. Kathleen Agnes Kolar, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 Keller Ave N, Amery, WI 54001 Phone: 715-268-7604
Geraldine Merth, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Scholl Ct, Amery, WI 54001 Phone: 715-268-8000

Brooklyn Sandow, DPT - Medicare Physical Therapist in Amery, WI