Kevin Wisdom, PT in Fayetteville, AR - Medicare Physical Therapy Provider

Kevin Wisdom, PT is a medicare enrolled "Physical Therapist" provider in Fayetteville, Arkansas. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ozark Orthopaedics, Pa and his current practice location is 3317 N Wimberly Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 521-2752.

Kevin Wisdom is licensed to practice in Arkansas (license number PT2490) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063485670.

Contact Information

	Kevin Wisdom, PT
	3317 N Wimberly Dr, Fayetteville, AR 72703-4056
	(479) 521-2752
	(479) 444-6942

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin Wisdom
Gender	Male
Speciality	Physical Therapy
Experience	24 Years
Location	3317 N Wimberly Dr, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin Wisdom graduated from medical school in 2000

NPI Data:

NPI Number: 1063485670
Provider Enumeration Date: 02/13/2006
Last Update Date: 12/14/2010

Medicare PECOS Information:

PECOS PAC ID: 2567434483
Enrollment ID: I20040811000566

Medical Identifiers

Medical identifiers for Kevin Wisdom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063485670	NPI	-	NPPES
P00162005	Other	AR	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT2490 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ozark Orthopaedics, Pa	2860477189	47

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. Kevin Wisdom allows following entities to bill medicare on his behalf.

Provider Name	Ozark Orthopaedics, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649210584 PECOS PAC ID: 2860477189 Enrollment ID: O20040621001974

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. Kevin Wisdom 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
Kevin Wisdom, PT Po Box 1608, Fayetteville, AR 72702-1608 Ph: (479) 521-2752	Kevin Wisdom, PT 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 Ph: (479) 521-2752

Reviews and Comments

Physical Therapist in Fayetteville, AR

Karen Hairston, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Fernando Castillo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3383 N Mana Ct Ste 201, Fayetteville, AR 72703 Phone: 479-571-6780
Kymbrly Hannah, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Ms. Heather Kristine Vaughn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-713-8630 Fax: 479-713-8639
Megan Landry Wilson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1923 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-442-7220
Travis Alexander, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 Phone: 479-435-6712 Fax: 844-317-0394
Winston Tyler Futrell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-595-0711

Kevin Wisdom, PT - Medicare Physical Therapist in Fayetteville, AR