Micaela Nowacki, DPT in Putnam, CT - Medicare Physical Therapist Provider

Micaela Nowacki, DPT is a medicare enrolled "Physical Therapist" provider in Putnam, Connecticut. Her current practice location is 39 Kennedy Dr, Putnam, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 963-2174.

Micaela Nowacki is licensed to practice in Connecticut (license number 13661) 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 1164150041.

Contact Information

	Micaela Nowacki, DPT
	39 Kennedy Dr, Putnam, CT 06260-1957
	(860) 963-2174
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Micaela Nowacki
Gender	Female
Speciality	Physical Therapist
Location	39 Kennedy Dr, Putnam, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164150041
Provider Enumeration Date: 08/09/2022
Last Update Date: 08/09/2022

Medicare PECOS Information:

PECOS PAC ID: 5496131492
Enrollment ID: I20220928002407

Medical Identifiers

Medical identifiers for Micaela Nowacki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164150041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13661 (Connecticut)	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. Micaela Nowacki allows following entities to bill medicare on her behalf.

Provider Name	Anb-ptsma Holdings Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128

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. Micaela Nowacki 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
Micaela Nowacki, DPT 47 N Main St, West Hartford, CT 06107-1926 Ph: (860) 409-4595	Micaela Nowacki, DPT 39 Kennedy Dr, Putnam, CT 06260-1957 Ph: (860) 963-2174

Reviews and Comments

Physical Therapist in Putnam, CT

Kyleen O Sidwell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 39 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2174 Fax: 860-963-2178
Mr. Matthew J Dumas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2174 Fax: 860-963-2178
Mr. Thomas F Harney, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 39 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2174 Fax: 860-963-2178
Donna Marie Duffy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 72 Church St, Putnam, CT 06260 Phone: 860-928-0891
Tri-state Rehab & Sports Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2133 Fax: 860-963-8955
Roman Taras Slevinsky, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Quinebaug Ave, Putnam, CT 06260 Phone: 860-928-3533 Fax: 860-928-3533

Micaela Nowacki, DPT - Medicare Physical Therapist in Putnam, CT