Dr Elizabeth Marie Mortag, DPT in Jackson, WI - Medicare Physical Therapist Provider

Dr Elizabeth Marie Mortag, DPT is a medicare enrolled "Physical Therapist" provider in Jackson, Wisconsin. Her current practice location is W225n16711 Cedar Park Ct, Jackson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 677-1101.

Dr Elizabeth Marie Mortag is licensed to practice in Wisconsin (license number 12680-24) 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 1134522170.

Contact Information

	Dr Elizabeth Marie Mortag, DPT
	W225n16711 Cedar Park Ct, Jackson, WI 53037-9222
	(262) 677-1101
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elizabeth Marie Mortag
Gender	Female
Speciality	Physical Therapist
Location	W225n16711 Cedar Park Ct, Jackson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134522170
Provider Enumeration Date: 10/05/2014
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 8921535584
Enrollment ID: I20241219003548

Medical Identifiers

Medical identifiers for Dr Elizabeth Marie Mortag such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134522170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12680-24 (Wisconsin)	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. Dr Elizabeth Marie Mortag allows following entities to bill medicare on her behalf.

Provider Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Dr Elizabeth Marie Mortag 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
Dr Elizabeth Marie Mortag, DPT 4320 N 142nd St, Brookfield, WI 53005-1142 Ph: (309) 360-4162	Dr Elizabeth Marie Mortag, DPT W225n16711 Cedar Park Ct, Jackson, WI 53037-9222 Ph: (262) 677-1101

Reviews and Comments

Physical Therapist in Jackson, WI

Bridget K Kratz-schwartz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: W225n16711 Cedar Park Ct, Jackson, WI 53037 Phone: 626-771-1012
West Bend Clinic, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W227 N16857 Tillie Lake Court, Jackson, WI 53037 Phone: 262-365-6170
Amy C Truog, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: W227n16857 Tillie Lake Ct, Jackson, WI 53037 Phone: 262-365-6170

Dr Elizabeth Marie Mortag, DPT - Medicare Physical Therapist in Jackson, WI