Cody L Moldenhauer, DPT in Kenosha, WI - Medicare Physical Therapist In Private Practice Provider

Cody L Moldenhauer, DPT is a medicare enrolled "Physical Therapist" provider in Kenosha, Wisconsin. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 2707 15th Pl, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 551-2700.

Cody L Moldenhauer is licensed to practice in Wisconsin (license number 13200-24) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730559782.

Contact Information

	Cody L Moldenhauer, DPT
	2707 15th Pl, Kenosha, WI 53140-4947
	(262) 551-2700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cody L Moldenhauer
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	11 Years
Location	2707 15th Pl, Kenosha, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cody L Moldenhauer graduated from medical school in 2015

NPI Data:

NPI Number: 1730559782
Provider Enumeration Date: 10/02/2015
Last Update Date: 01/26/2026

Medicare PECOS Information:

PECOS PAC ID: 6608166574
Enrollment ID: I20200116000222

Medical Identifiers

Medical identifiers for Cody L Moldenhauer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730559782	NPI	-	NPPES
100096554	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTL.0013650 (Colorado)	Secondary
225100000X	Physical Therapist	11813 (Tennessee)	Secondary
225100000X	Physical Therapist	13200-24 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3491

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. Cody L Moldenhauer allows following entities to bill medicare on his behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Provider Name	Lakeshore Medical Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433

Provider Name	Sundance Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1073912119 PECOS PAC ID: 7911815329 Enrollment ID: O20140917001161

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. Cody L Moldenhauer 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
Cody L Moldenhauer, DPT Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Cody L Moldenhauer, DPT 2707 15th Pl, Kenosha, WI 53140-4947 Ph: (262) 551-2700

Reviews and Comments

Physical Therapist in Kenosha, WI

Lindsay B.n. Laubmeier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave, Suite 103, Kenosha, WI 53144 Phone: 262-657-7071 Fax: 262-657-0632
Mrs. Sherry M Clifton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1218 79th St, Kenosha, WI 53143 Phone: 262-658-9500
Jeffrey S Serchen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7540 22nd Ave, Kenosha, WI 53143 Phone: 262-656-7800
Morgan P Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave Ste 103, Kenosha, WI 53144 Phone: 262-657-7071
Tyler Raymaker, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3701 80th St, Kenosha, WI 53142 Phone: 262-697-1730
Erika M Kurzac, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3535 30th Ave Ste 101, Kenosha, WI 53144 Phone: 262-657-7071
Mrs. Tarey Ann Wenninger, P.T., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142 Phone: 262-653-9208 Fax: 262-653-9264

Cody L Moldenhauer, DPT - Medicare Physical Therapist in Kenosha, WI