Maryan Nader Wicker, DPT in Lyndhurst, NJ - Medicare Physical Therapist Provider

Maryan Nader Wicker, DPT is a medicare enrolled "Physical Therapist" provider in Lyndhurst, New Jersey. Her current practice location is 626 Ridge Rd, Lyndhurst, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 372-3240.

Maryan Nader Wicker is licensed to practice in North Carolina (license number P20298) 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 1053704080.

Contact Information

	Maryan Nader Wicker, DPT
	626 Ridge Rd, Lyndhurst, NJ 07071-3206
	(201) 372-3240
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maryan Nader Wicker
Gender	Female
Speciality	Physical Therapist
Location	626 Ridge Rd, Lyndhurst, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053704080
Provider Enumeration Date: 03/16/2015
Last Update Date: 04/08/2021

Medicare PECOS Information:

PECOS PAC ID: 4183902059
Enrollment ID: I20230706001685

Medical Identifiers

Medical identifiers for Maryan Nader Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053704080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01602700 (New Jersey)	Secondary
225100000X	Physical Therapist	P20298 (North Carolina)	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. Maryan Nader Wicker allows following entities to bill medicare on her behalf.

Provider Name	Proactive Therapy Of North Carolina Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568468502 PECOS PAC ID: 6305753120 Enrollment ID: O20130207000475

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. Maryan Nader Wicker 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
Maryan Nader Wicker, DPT 9933 Travertine Trl, Davidson, NC 28036-7654 Ph: (551) 221-1983	Maryan Nader Wicker, DPT 626 Ridge Rd, Lyndhurst, NJ 07071-3206 Ph: (201) 372-3240

Reviews and Comments

Physical Therapist in Lyndhurst, NJ

Patricia Castle, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 70 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-933-9959 Fax: 201-933-9958
Kimberly Afordakos, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 418 Lewandowski St, Lyndhurst, NJ 07071 Phone: 201-933-9959 Fax: 201-933-9958
Ms. Angela L Santiago, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 623 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-340-4656
Mrs. Erin Marie Ross, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 624 Page Ave, Lyndhurst, NJ 07071 Phone: 201-531-1430
Mr. Allen Rene Arcilla Tupue, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 626 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-372-3240
Luke Ziaya, Physical Therapist Medicare: Medicare Enrolled Practice Location: 70 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-933-9959 Fax: 201-933-9958

Maryan Nader Wicker, DPT - Medicare Physical Therapist in Lyndhurst, NJ