Mr Travis Wayne Vander Reyden, PT is a medicare enrolled "Physical Therapist" provider in Laporte, Indiana. He graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Advanced Physical Therapy Llc and his current practice location is
900 I St, Laporte, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 324-1700.
Mr Travis Wayne Vander Reyden is licensed to practice in Indiana (license number 05007152A) 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 1134104292.
Healthcare Provider's Profile
| Full Name | Mr Travis Wayne Vander Reyden |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 26 Years |
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| Location | 900 I St, Laporte, Indiana |
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| 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 Travis Wayne Vander Reyden graduated from medical school in 2000
NPI Data:
- NPI Number: 1134104292
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7810072527
- Enrollment ID: I20080305000345
Medical Identifiers
Medical identifiers for Mr Travis Wayne Vander Reyden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134104292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 05007152A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Advanced Physical Therapy Llc | 6002959525 | 147 |
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 Travis Wayne Vander Reyden allows following entities to bill medicare on his behalf.
| Provider Name | Advanced Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030 |
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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 Travis Wayne Vander Reyden 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 Travis Wayne Vander Reyden, PT 328 N Michigan St, Ste. 200, South Bend, IN 46601-1244 Ph: (574) 647-1845 | Mr Travis Wayne Vander Reyden, PT 900 I St, Laporte, IN 46350-5533 Ph: (219) 324-1700 |
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