Kelly Jean Wieczerzak, PT, DPT in Rutherford, NJ - Medicare Physical Therapist In Private Practice Provider

Kelly Jean Wieczerzak, PT, DPT is a medicare enrolled "Physical Therapist" provider in Rutherford, New Jersey. She went to Rutgers New Jersey Medical School and graduated in 2021 and has 4 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Ivyrehab Network Inc and her current practice location is 301 Route 17 Ste 105, Rutherford, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 460-0032.

Kelly Jean Wieczerzak is licensed to practice in New Jersey (license number 40QA02023500) 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 1982367819.

Contact Information

	Kelly Jean Wieczerzak, PT, DPT
	301 Route 17 Ste 105, Rutherford, NJ 07070-2585
	(201) 460-0032
	(201) 460-0092

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Jean Wieczerzak
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	4 Years
Location	301 Route 17 Ste 105, Rutherford, New Jersey
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:

Kelly Jean Wieczerzak attended and graduated from Rutgers New Jersey Medical School in 2021

NPI Data:

NPI Number: 1982367819
Provider Enumeration Date: 10/18/2021
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 9133518806
Enrollment ID: I20211118001185

Medical Identifiers

Medical identifiers for Kelly Jean Wieczerzak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982367819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02023500 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivyrehab Network Inc	3476539776	551

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. Kelly Jean Wieczerzak allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Network Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865

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. Kelly Jean Wieczerzak 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
Kelly Jean Wieczerzak, PT, DPT 605 Main St, Hackensack, NJ 07601-5914 Ph: (201) 488-0488	Kelly Jean Wieczerzak, PT, DPT 301 Route 17 Ste 105, Rutherford, NJ 07070-2585 Ph: (201) 460-0032

Reviews and Comments

Physical Therapist in Rutherford, NJ

Professional Orthopedic And Sports Physical Therapy Of Nj, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 84 Orient Way, Rutherford, NJ 07070 Phone: 201-514-4900 Fax: 201-340-4141
Paige Van Dien, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 84 Orient Way, Rutherford, NJ 07070 Phone: 201-964-0200 Fax: 201-964-0220
Miss Maria E Diercks, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 85 Orient Way, Rutherford, NJ 07070 Phone: 201-438-6266
Kim A. Dilorenzo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Woodland Ave, Rutherford, NJ 07070 Phone: 201-306-5313
Hemali Shah, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 Orient Way, Rutherford, NJ 07070 Phone: 973-610-1736
Mary-louise Jannicelli-clare, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 The Terrace, Rutherford, NJ 07070 Phone: 201-460-7459
Saloni Rajeshbhai Ramani, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Montross Ave, Rutherford, NJ 07070 Phone: 551-320-0322

Kelly Jean Wieczerzak, PT, DPT - Medicare Physical Therapist in Rutherford, NJ