Mrs Laura Lynn Waliczek, DPT in Tigard, OR - Medicare Physical Therapist Provider

Mrs Laura Lynn Waliczek, DPT is a medicare enrolled "Physical Therapist" provider in Tigard, Oregon. Her current practice location is 9860 Sw Hall Blvd, #a3, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 902-2123.

Mrs Laura Lynn Waliczek is licensed to practice in Oregon (license number 4954) 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 1750459673.

Contact Information

	Mrs Laura Lynn Waliczek, DPT
	9860 Sw Hall Blvd, #a3, Tigard, OR 97223-8896
	(503) 902-2123
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Laura Lynn Waliczek
Gender	Female
Speciality	Physical Therapist
Location	9860 Sw Hall Blvd, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750459673
Provider Enumeration Date: 11/30/2006
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 7719010727
Enrollment ID: I20100728000195

Medical Identifiers

Medical identifiers for Mrs Laura Lynn Waliczek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750459673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4954 (Oregon)	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. Mrs Laura Lynn Waliczek allows following entities to bill medicare on her behalf.

Provider Name	Kaiser Foundation Health Plan Of The Northwest
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Mrs Laura Lynn Waliczek 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
Mrs Laura Lynn Waliczek, DPT 664 Sw Rustica Terrace, Portland, OR 97225 Ph: (503) 902-2123	Mrs Laura Lynn Waliczek, DPT 9860 Sw Hall Blvd, #a3, Tigard, OR 97223-8896 Ph: (503) 902-2123

Reviews and Comments

Physical Therapist in Tigard, OR

Evan Liu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Durham Rd, Ste. 500, Tigard, OR 97224 Phone: 503-937-0090
Alexis Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16083 Sw Upper Boones Ferry Rd, Tigard, OR 97224 Phone: 800-219-8835
Noel L Baier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2008 Fax: 503-598-2020
Colbie J Jorgensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 Fax: 503-624-0118
Mrs. Jessica Steele-thornborrow, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 18039 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-753-1537
Miranda Rose Paasche, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12700 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-753-1537 Fax: 503-573-8004
Cali Lescas Hernandez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 203b, Tigard, OR 97223 Phone: 503-223-1856 Fax: 503-223-1856

Mrs Laura Lynn Waliczek, DPT - Medicare Physical Therapist in Tigard, OR