Mary Rudolph Thomas, PT in Glendale, WI - Medicare Physical Therapist Provider

Mary Rudolph Thomas, PT is a medicare enrolled "Physical Therapist" provider in Glendale, Wisconsin. Her current practice location is 4425 N Port Washington Rd, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 961-3598.

Mary Rudolph Thomas is licensed to practice in Wisconsin (license number 5561-024) 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 1851417802.

Contact Information

	Mary Rudolph Thomas, PT
	4425 N Port Washington Rd, Glendale, WI 53212-1082
	(414) 961-3598
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Rudolph Thomas
Gender	Female
Speciality	Physical Therapist
Location	4425 N Port Washington Rd, Glendale, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851417802
Provider Enumeration Date: 03/21/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3476085952
Enrollment ID: I20241022003778

Medical Identifiers

Medical identifiers for Mary Rudolph Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851417802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5561-024 (Wisconsin)	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. Mary Rudolph Thomas allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Wi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309

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. Mary Rudolph Thomas 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
Mary Rudolph Thomas, PT 664 N 74th St, Wauwatosa, WI 53213-3664 Ph: () -	Mary Rudolph Thomas, PT 4425 N Port Washington Rd, Glendale, WI 53212-1082 Ph: (414) 961-3598

Reviews and Comments

Physical Therapist in Glendale, WI

Active Care Rehab, S.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 W Coventry Ct, Suite 204, Glendale, WI 53217 Phone: 414-228-7900 Fax: 414-228-7901
Erin Elizabeth Christen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6541 N Cedar Ridge Ln, Glendale, WI 53217 Phone: 414-336-4342
Ms. Michelle Wilson Schofield, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6700 N Port Washington Rd, Glendale, WI 53217 Phone: 414-351-8850
Mrs. Christine Marie Powers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 475 W Riverwoods Pkwy, Glendale, WI 53212 Phone: 414-961-6880 Fax: 414-961-6739
Danielle Van Dyck, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5150 N Port Washington Rd Ste 220, Glendale, WI 53217 Phone: 414-541-1118
Ariana Glenetski, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5333 N Port Washington Rd Ste B, Glendale, WI 53217 Phone: 414-716-1770 Fax: 414-716-1772
Mrs. Suzanne Lundy, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5333 N Port Washington Rd Ste B, Glendale, WI 53217 Phone: 414-716-1770 Fax: 414-716-1772

Mary Rudolph Thomas, PT - Medicare Physical Therapist in Glendale, WI