Futachai Rasavong, MPT in Hales Corners, WI - Medicare Physical Therapy Provider

Futachai Rasavong, MPT is a medicare enrolled "Physical Therapist" provider in Hales Corners, Wisconsin. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Advantage Physical Therapy And Sports Rehab, Llc and his current practice location is 5301 S 108th St, Hales Corners, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 529-7375.

Futachai Rasavong is licensed to practice in Wisconsin (license number 9557024) 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 1225184013.

Contact Information

	Futachai Rasavong, MPT
	5301 S 108th St, Hales Corners, WI 53130-1332
	(414) 529-7375
	(414) 529-7567

Map and Direction

Healthcare Provider's Profile

Full Name	Futachai Rasavong
Gender	Male
Speciality	Physical Therapy
Experience	24 Years
Location	5301 S 108th St, Hales Corners, 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:

Futachai Rasavong graduated from medical school in 2000

NPI Data:

NPI Number: 1225184013
Provider Enumeration Date: 01/26/2007
Last Update Date: 07/09/2021

Medicare PECOS Information:

PECOS PAC ID: 8820269111
Enrollment ID: I20110916000296

Medical Identifiers

Medical identifiers for Futachai Rasavong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225184013	NPI	-	NPPES
100017332	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9557024 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advantage Physical Therapy And Sports Rehab, Llc	8022016336	23

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. Futachai Rasavong allows following entities to bill medicare on his behalf.

Provider Name	Chad Novasic Pt Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1578679890 PECOS PAC ID: 2567365141 Enrollment ID: O20040130000368

Provider Name	Advantage Physical Therapy & Sports Rehab, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881773463 PECOS PAC ID: 8022016336 Enrollment ID: O20061121000412

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. Futachai Rasavong 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
Futachai Rasavong, MPT 1726 W Morgan Ave, Milwaukee, WI 53221-1634 Ph: () -	Futachai Rasavong, MPT 5301 S 108th St, Hales Corners, WI 53130-1332 Ph: (414) 529-7375

Reviews and Comments

Physical Therapist in Hales Corners, WI

Advanced Institute Of Rehabilitation Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5301 S 108th St, Hales Corners, WI 53130 Phone: 414-586-0036 Fax: 414-586-0046
Boris Gigov, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5700 S 108th St, Hales Corners, WI 53130 Phone: 800-974-4378 Fax: 630-515-1536
Charles Reitz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10731 W Forest Home Ave, Hales Corners, WI 53130 Phone: 414-529-4605
Kevin Robert Eckert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5764 S 108th St, Hales Corners, WI 53130 Phone: 414-400-7110 Fax: 414-400-7112
Christine Hartl, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5764 S 108th St, Hales Corners, WI 53130 Phone: 414-400-7110 Fax: 414-400-7112
Instep Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5700 S 108th St, Hales Corners, WI 53130 Phone: 414-858-9306 Fax: 414-858-9307

Futachai Rasavong, MPT - Medicare Physical Therapist in Hales Corners, WI