Ms Lacey Wise, PT in Castle Rock, WA - Medicare Physical Therapist Provider

Ms Lacey Wise, PT is a medicare enrolled "Physical Therapist" provider in Castle Rock, Washington. Her current practice location is 1316 Mt Saint Helens Way Se, Suite B, Castle Rock, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 557-8020.

Ms Lacey Wise is licensed to practice in Washington (license number PT61342050) 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 1154830677.

Contact Information

	Ms Lacey Wise, PT
	1316 Mt Saint Helens Way Se, Suite B, Castle Rock, WA 98611
	(360) 557-8020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lacey Wise
Gender	Female
Speciality	Physical Therapist
Location	1316 Mt Saint Helens Way Se, Castle Rock, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154830677
Provider Enumeration Date: 09/27/2017
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 2961746490
Enrollment ID: I20230811002140

Medical Identifiers

Medical identifiers for Ms Lacey Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154830677	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61342050 (Washington)	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. Ms Lacey Wise allows following entities to bill medicare on her behalf.

Provider Name	Centralia Physical Therapy Inc Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952666315 PECOS PAC ID: 0648429688 Enrollment ID: O20121005000577

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. Ms Lacey Wise 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
Ms Lacey Wise, PT 1817 S Market Blvd Ste C, Chehalis, WA 98532-4100 Ph: (360) 996-4410	Ms Lacey Wise, PT 1316 Mt Saint Helens Way Se, Suite B, Castle Rock, WA 98611 Ph: (360) 557-8020

Reviews and Comments

Physical Therapist in Castle Rock, WA

Pt Northwest Of Longview Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Cowlitz, Castle Rock, WA 98611 Phone: 360-274-4550 Fax: 360-274-4548
Allison Lunday, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 223 Studebaker Spur 1, Castle Rock, WA 98611 Phone: 253-820-1322
Elizabeth Joy Dudenhofer, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51 Cowlitz St W, Castle Rock, WA 98611 Phone: 360-274-4550

Ms Lacey Wise, PT - Medicare Physical Therapist in Castle Rock, WA