Matthew Richard Wisehart, DPT in North Las Vegas, NV - Medicare Physical Therapist Provider

Matthew Richard Wisehart, DPT is a medicare enrolled "Physical Therapist" provider in North Las Vegas, Nevada. His current practice location is 3155 W Craig Rd Ste 120140, North Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 639-2333.

Matthew Richard Wisehart is licensed to practice in Idaho (license number PT-6532) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063861060.

Contact Information

	Matthew Richard Wisehart, DPT
	3155 W Craig Rd Ste 120140, North Las Vegas, NV 89032-0782
	(702) 639-2333
	(702) 639-2334

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Richard Wisehart
Gender	Male
Speciality	Physical Therapist
Location	3155 W Craig Rd Ste 120140, North Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063861060
Provider Enumeration Date: 06/09/2016
Last Update Date: 05/29/2023

Medicare PECOS Information:

PECOS PAC ID: 2062794688
Enrollment ID: I20170116000477

Medical Identifiers

Medical identifiers for Matthew Richard Wisehart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063861060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12255 (Arizona)	Secondary
225100000X	Physical Therapist	PT-6532 (Idaho)	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. Matthew Richard Wisehart allows following entities to bill medicare on his behalf.

Provider Name	Ati Holdings Of Arizona Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683

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. Matthew Richard Wisehart 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
Matthew Richard Wisehart, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Matthew Richard Wisehart, DPT 3155 W Craig Rd Ste 120140, North Las Vegas, NV 89032-0782 Ph: (702) 639-2333

Reviews and Comments

Physical Therapist in North Las Vegas, NV

Advanced Manual Therapy Institute I Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6424 Losee Rd, Suite 120, North Las Vegas, NV 89086 Phone: 702-896-0383 Fax: 702-889-0383
Mark Tee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3215 E Cheyenne Ave, North Las Vegas, NV 89030 Phone: 702-858-4538
Jon Moot, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 E Centennial Pkwy Ste 106, North Las Vegas, NV 89081 Phone: 702-936-7165
Brady Powell, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2225 Civic Center Dr Ste 100, North Las Vegas, NV 89030 Phone: 702-586-5778 Fax: 702-586-5758
Tyler J Calvert, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4080 North Martin Luther King Blvd, Suite 101a, North Las Vegas, NV 89032 Phone: 702-360-9142
Erin P Healy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3155 W Craig Rd Ste 120-140, North Las Vegas, NV 89032 Phone: 702-639-2333 Fax: 702-639-2334

Matthew Richard Wisehart, DPT - Medicare Physical Therapist in North Las Vegas, NV