Michele Wylde, PT, ATC is a medicare enrolled "Physical Therapist" provider in Waterman, Illinois. Her current practice location is
320 W Adams St, Waterman, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 264-8600.
Michele Wylde is licensed to practice in Illinois (license number 070014036) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962730416.
Healthcare Provider's Profile
| Full Name | Michele Wylde |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 320 W Adams St, Waterman, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michele Wylde attended and graduated from in
NPI Data:
- NPI Number: 1962730416
- Provider Enumeration Date: 11/20/2009
- Last Update Date: 07/01/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michele Wylde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962730416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251S0007X | Physical Therapist - Sports | 070.014036 (Illinois) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 070.014036 (Illinois) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 070.014036 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 070014036 (Illinois) | Primary |
| 225100000X | Physical Therapist | 070.014036 (Illinois) | Secondary |
| 2251G0304X | Physical Therapist - Geriatrics | 070.014036 (Illinois) | Secondary |
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. Michele Wylde 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 |
|---|
Michele Wylde, PT, ATC
Po Box 98,
Waterman, IL 60556-0098
Ph: (815) 264-8600 | Michele Wylde, PT, ATC
320 W Adams St,
Waterman, IL 60556-4000
Ph: (815) 264-8600 |
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