Douglas Bruce Wyatt, in Ann Arbor, MI - Medicare Physical Therapist In Private Practice Provider

Douglas Bruce Wyatt, is a medicare enrolled "Physical Therapist" provider in Ann Arbor, Michigan. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Athletico Ltd and his current practice location is 2570 Jackson Ave Ste C, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 823-7820.

Douglas Bruce Wyatt is licensed to practice in Michigan (license number 5501018165) 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 1174094437.

Contact Information

	Douglas Bruce Wyatt,
	2570 Jackson Ave Ste C, Ann Arbor, MI 48103-3853
	(734) 823-7820
	(734) 823-7821

Map and Direction

Healthcare Provider's Profile

Full Name	Douglas Bruce Wyatt
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	10 Years
Location	2570 Jackson Ave Ste C, Ann Arbor, Michigan
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:

Douglas Bruce Wyatt graduated from medical school in 2016

NPI Data:

NPI Number: 1174094437
Provider Enumeration Date: 12/16/2018
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 8820592983
Enrollment ID: I20250919004321

Medical Identifiers

Medical identifiers for Douglas Bruce Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174094437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501018165 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletico Ltd	4789602681	2174

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. Douglas Bruce Wyatt 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
Douglas Bruce Wyatt, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200	Douglas Bruce Wyatt, 2570 Jackson Ave Ste C, Ann Arbor, MI 48103-3853 Ph: (734) 823-7820

Reviews and Comments

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Douglas Bruce Wyatt, - Medicare Physical Therapist in Ann Arbor, MI