Kathleen Johnson Wesolowski, PT in Eagle, ID - Medicare Physical Therapist In Private Practice Provider

Kathleen Johnson Wesolowski, PT is a medicare enrolled "Physical Therapist" provider in Eagle, Idaho. She graduated from medical school in 1988 and has 38 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Mrc Llc and her current practice location is 450 W State St Ste 270, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 462-0808.

Kathleen Johnson Wesolowski is licensed to practice in California (license number PT15209) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457365538.

Contact Information

	Kathleen Johnson Wesolowski, PT
	450 W State St Ste 270, Eagle, ID 83616-6974
	(208) 462-0808
	(208) 516-4488

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Johnson Wesolowski
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	38 Years
Location	450 W State St Ste 270, Eagle, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Johnson Wesolowski graduated from medical school in 1988

NPI Data:

NPI Number: 1457365538
Provider Enumeration Date: 07/27/2006
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8820081862
Enrollment ID: I20240812003901

Medical Identifiers

Medical identifiers for Kathleen Johnson Wesolowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457365538	NPI	-	NPPES
PT-9207	Other	ID	STATE LICENSE
PT15209	Other	CA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT-9207 (Idaho)	Secondary
225100000X	Physical Therapist	PT15209 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mrc Llc	0648528570	3

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. Kathleen Johnson Wesolowski allows following entities to bill medicare on her behalf.

Provider Name	Mrc Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1295234367 PECOS PAC ID: 0648528570 Enrollment ID: O20180808002818

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. Kathleen Johnson Wesolowski 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
Kathleen Johnson Wesolowski, PT 1832 N Bello Sara Way, Eagle, ID 83616-6989 Ph: (408) 439-2414	Kathleen Johnson Wesolowski, PT 450 W State St Ste 270, Eagle, ID 83616-6974 Ph: (208) 462-0808

Reviews and Comments

Physical Therapist in Eagle, ID

Allison Andrews Boldridge, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039
Serin Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 Fax: 208-416-6635
Cameron Daron, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 645 E State St, Eagle, ID 83616 Phone: 208-939-9594
Kathryn L Stednitz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21 N Fisher Park Way, Eagle, ID 83616 Phone: 208-514-0670
Christopher Fox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 E State St Ste 101, Eagle, ID 83616 Phone: 208-939-9594 Fax: 208-939-9828
Ryan Heilman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 457 S Fitness Pl Ste 100, Eagle, ID 83616 Phone: 208-939-3332 Fax: 208-939-3338
Emily Verheijen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-629-1030 Fax: 208-346-7618

Kathleen Johnson Wesolowski, PT - Medicare Physical Therapist in Eagle, ID