Kelsey Wilde, DPT in Newberg, OR - Medicare Physical Therapist Provider

Kelsey Wilde, DPT is a medicare enrolled "Physical Therapist - Geriatrics" provider in Newberg, Oregon. Her current practice location is 441 Werth Blvd., Newberg, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 538-9436.

Kelsey Wilde is licensed to practice in Oregon (license number 60690) 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 1427465962.

Contact Information

	Kelsey Wilde, DPT
	441 Werth Blvd., Newberg, OR 97123
	(503) 538-9436
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Wilde
Gender	Female
Speciality	Physical Therapist - Geriatrics
Location	441 Werth Blvd., Newberg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427465962
Provider Enumeration Date: 07/16/2014
Last Update Date: 08/20/2014

Medicare PECOS Information:

PECOS PAC ID: 2769852847
Enrollment ID: I20230105003031

Medical Identifiers

Medical identifiers for Kelsey Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427465962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	60690 (Oregon)	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. Kelsey Wilde allows following entities to bill medicare on her behalf.

Provider Name	Premere Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467767269 PECOS PAC ID: 2567434764 Enrollment ID: O20110105000915

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. Kelsey Wilde 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
Kelsey Wilde, DPT 441 Werth Blvd., Newberg, OR 97123 Ph: (503) 538-9436	Kelsey Wilde, DPT 441 Werth Blvd., Newberg, OR 97123 Ph: (503) 538-9436

Reviews and Comments

Physical Therapist in Newberg, OR

Mr. Byron J. Herigstad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120-c N Everest Rd, Newberg, OR 97132 Phone: 503-538-8952 Fax: 503-537-2027
Gina Alicia Pieretti, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 N Everest Rd Ste C, Newberg, OR 97132 Phone: 503-538-8952 Fax: 503-537-2027
Amy Leigh Phelps, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 Deborah Rd, Ste 190b, Newberg, OR 97132 Phone: 503-537-7070 Fax: 503-217-7176
Mrs. Cheryl Lynn Gara, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Providence Dr, Newberg, OR 97132 Phone: 503-537-1555
Courtney Helen Hanks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 Deborah Rd Ste 190, Newberg, OR 97132 Phone: 503-887-4061
Aria Rachel Assad, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 E 1st St, Newberg, OR 97132 Phone: 949-533-1641
Mrs. Denise Kay Pia, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Fulton St, Newberg, OR 97132 Phone: 503-538-2108

Kelsey Wilde, DPT - Medicare Physical Therapist in Newberg, OR