Kendall E Wilde, DPT in Kennesaw, GA - Medicare Physical Therapy Provider

Kendall E Wilde, DPT is a medicare enrolled "Physical Therapist" provider in Kennesaw, Georgia. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Amy Beth Hopkins Mpt Pc Dba Your Personal Best Pt and her current practice location is 1615 Ridenour Blvd Nw Ste 204, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 580-8070.

Kendall E Wilde is licensed to practice in Georgia (license number PT013169) 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 1417405499.

Contact Information

	Kendall E Wilde, DPT
	1615 Ridenour Blvd Nw Ste 204, Kennesaw, GA 30152-4464
	(770) 580-8070
	(770) 285-8751

Map and Direction

Healthcare Provider's Profile

Full Name	Kendall E Wilde
Gender	Female
Speciality	Physical Therapy
Experience	8 Years
Location	1615 Ridenour Blvd Nw Ste 204, Kennesaw, Georgia
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:

Kendall E Wilde graduated from medical school in 2016

NPI Data:

NPI Number: 1417405499
Provider Enumeration Date: 09/19/2016
Last Update Date: 10/20/2017

Medicare PECOS Information:

PECOS PAC ID: 8022397199
Enrollment ID: I20200303000931

Medical Identifiers

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

Identifier	Type	State	Issuer
1417405499	NPI	-	NPPES
PT013169	Other	GA	PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT013169 (Georgia)	Primary
225100000X	Physical Therapist	12414 (Arizona)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Amy Beth Hopkins Mpt Pc Dba Your Personal Best Pt	4082623152	21

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. Kendall E Wilde allows following entities to bill medicare on her behalf.

Provider Name	Amy Beth Hopkins Mpt Pc Dba Your Personal Best Pt
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1275165631 PECOS PAC ID: 4082623152 Enrollment ID: O20120614000726

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. Kendall E 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
Kendall E Wilde, DPT 8541 E Anderson Dr Ste 100, Ste 100, Scottsdale, AZ 85255-5430 Ph: (480) 585-6810	Kendall E Wilde, DPT 1615 Ridenour Blvd Nw Ste 204, Kennesaw, GA 30152-4464 Ph: (770) 580-8070

Reviews and Comments

Physical Therapist in Kennesaw, GA

Divya Subhadra Nadimpalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Mccook Dr Nw, Kennesaw, GA 30144 Phone: 901-212-5834
Laura Bonin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 602, Kennesaw, GA 30144 Phone: 770-558-5491
Brittany Lysette Steele, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144 Phone: 770-425-6701 Fax: 770-425-6703
Mary Yostpille, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2774 Cobb Pkwy Nw Ste 112, Kennesaw, GA 30152 Phone: 678-809-8448
Leslie Cole Landen, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015 Vaughn Rd Nw Ste 130, Kennesaw, GA 30144 Phone: 770-425-6661
Dr. Dustin Dobbs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Creekside Village Dr Nw, Suite 701, Kennesaw, GA 30144 Phone: 678-574-6868
Mrs. Monica Shanell Reed, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 745 Chastain Rd Nw, Suite 1130, Kennesaw, GA 30144 Phone: 770-425-2440 Fax: 770-425-8877

Kendall E Wilde, DPT - Medicare Physical Therapist in Kennesaw, GA