Mr John David Wild Jr, DPT in Ponchatoula, LA - Medicare Physical Therapy Provider

Mr John David Wild Jr, DPT is a medicare enrolled "Physical Therapist" provider in Ponchatoula, Louisiana. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Anatomix Physical Therapy Inc and his current practice location is 510 W Pine St, Ponchatoula, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 634-1966.

Mr John David Wild Jr is licensed to practice in Louisiana (license number 08568) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508245606.

Contact Information

	Mr John David Wild Jr, DPT
	510 W Pine St, Ponchatoula, LA 70454-3738
	(985) 634-1966
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John David Wild Jr
Gender	Male
Speciality	Physical Therapy
Experience	11 Years
Location	510 W Pine St, Ponchatoula, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr John David Wild Jr graduated from medical school in 2013

NPI Data:

NPI Number: 1508245606
Provider Enumeration Date: 05/21/2015
Last Update Date: 05/21/2015

Medicare PECOS Information:

PECOS PAC ID: 9638412349
Enrollment ID: I20190521002547

Medical Identifiers

Medical identifiers for Mr John David Wild Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508245606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	08568 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anatomix Physical Therapy Inc	3971576133	4

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. Mr John David Wild Jr allows following entities to bill medicare on his behalf.

Provider Name	Anatomix Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1376577015 PECOS PAC ID: 3971576133 Enrollment ID: O20040816001116

Provider Name	Anatomix Physical Therapy-mandeville Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114462694 PECOS PAC ID: 2365727971 Enrollment ID: O20170322002033

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. Mr John David Wild Jr 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
Mr John David Wild Jr, DPT 510 W Pine St, Ponchatoula, LA 70454-3738 Ph: (985) 634-1966	Mr John David Wild Jr, DPT 510 W Pine St, Ponchatoula, LA 70454-3738 Ph: (985) 634-1966

Reviews and Comments

Physical Therapist in Ponchatoula, LA

Rachel Williams, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884
Mrs. Lisa Ann Howes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N 8th St, Ponchatoula, LA 70454 Phone: 985-386-4688
Dr. Dustin Drewes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Beauregard St, Ponchatoula, LA 70454 Phone: 504-613-7662
Lucas Quebedeaux, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884
Mallory Kraft, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884
Precision Physical Therapy & Sports Medicine Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 18539 Highway 22 Ste F, Ponchatoula, LA 70454 Phone: 985-634-8322

Mr John David Wild Jr, DPT - Medicare Physical Therapist in Ponchatoula, LA