Jacob Chwiedz, DPT in Colchester, CT - Medicare Physical Therapist Provider

Jacob Chwiedz, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Colchester, Connecticut. His current practice location is 179 Linwood Ave Unit A-4, Colchester, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 603-3900.

Jacob Chwiedz is licensed to practice in Connecticut (license number 12771) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780290882.

Contact Information

	Jacob Chwiedz, DPT
	179 Linwood Ave Unit A-4, Colchester, CT 06415-1160
	(860) 603-3900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Chwiedz
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	179 Linwood Ave Unit A-4, Colchester, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780290882
Provider Enumeration Date: 09/23/2020
Last Update Date: 09/23/2020

Medicare PECOS Information:

PECOS PAC ID: 8224564729
Enrollment ID: I20241206003066

Medical Identifiers

Medical identifiers for Jacob Chwiedz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780290882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	12771 (Connecticut)	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. Jacob Chwiedz allows following entities to bill medicare on his behalf.

Provider Name	Carlson Therapy Network Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114979226 PECOS PAC ID: 8527968445 Enrollment ID: O20131009000158

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. Jacob Chwiedz 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
Jacob Chwiedz, DPT 27 Christina Ct, Clinton, CT 06413-1054 Ph: (860) 977-7939	Jacob Chwiedz, DPT 179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 Ph: (860) 603-3900

Reviews and Comments

Physical Therapist in Colchester, CT

Susan Gene Pugatch, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 59 Harrington Court, Colchester, CT 06415 Phone: 860-537-2339 Fax: 860-537-4747
Mrs. Sarah Anne Davis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 171 Norwich Ave, Colchester, CT 06415 Phone: 860-537-1420
John Grimes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 171 Norwich Ave, Colchester, CT 06415 Phone: 860-537-3014 Fax: 860-537-1420
Kara Lynn Jepson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 59 Harrington Ct, Colchester, CT 06415 Phone: 860-537-2339
Performance Physical Therapy & Sports Medicine, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 171 Norwich Ave, Colchester, CT 06415 Phone: 860-537-3014 Fax: 860-537-1420
Jennifer Grandpre, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Park Avenue Suite 4, Colchester, CT 06415 Phone: 860-531-3222 Fax: 860-531-3224
Genevieve Elliott, Physical Therapist Medicare: Medicare Enrolled Practice Location: 59 Harrington Ct, Colchester, CT 06415 Phone: 860-537-0337

Jacob Chwiedz, DPT - Medicare Physical Therapist in Colchester, CT