Dr Courtney Disterhaft, DPT in Berlin, WI - Medicare Physical Therapist Provider

Dr Courtney Disterhaft, DPT is a medicare enrolled "Physical Therapist" provider in Berlin, Wisconsin. Her current practice location is 225 Memorial Dr, Berlin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 361-1313.

Dr Courtney Disterhaft 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 1003439720.

Contact Information

	Dr Courtney Disterhaft, DPT
	225 Memorial Dr, Berlin, WI 54923-1243
	(920) 361-1313
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Courtney Disterhaft
Gender	Female
Speciality	Physical Therapist
Location	225 Memorial Dr, Berlin, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003439720
Provider Enumeration Date: 05/28/2020
Last Update Date: 05/28/2020

Medicare PECOS Information:

PECOS PAC ID: 6406249234
Enrollment ID: I20220131001422

Medical Identifiers

Medical identifiers for Dr Courtney Disterhaft such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003439720	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. Dr Courtney Disterhaft allows following entities to bill medicare on her behalf.

Provider Name	Fox Valley Physical Therapy & Wellness Clinic Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497733513 PECOS PAC ID: 9638155732 Enrollment ID: O20040629000344

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. Dr Courtney Disterhaft 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
Dr Courtney Disterhaft, DPT W13239 Penny Ln, Ripon, WI 54971-9586 Ph: (920) 896-1996	Dr Courtney Disterhaft, DPT 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-1313

Reviews and Comments

Physical Therapist in Berlin, WI

Mrs. Diane Marie Klika, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5534 Fax: 920-361-5190
Todd Sidney Hammond, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5534 Fax: 920-361-5910
Mrs. Stacy Kristine Budde, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5534
Ms. Jessica M. Hoinacki, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W2342 Puchyan Rd, Berlin, WI 54923 Phone: 920-361-1608
Mr. Brandon Eric Mcmullen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5538 Fax: 920-361-5499
Sean Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5534 Fax: 920-361-5910

Dr Courtney Disterhaft, DPT - Medicare Physical Therapist in Berlin, WI