Nicholas Kaczkowski, PT, DPT, MS in Fox Lake, IL - Medicare Physical Therapist Provider

Nicholas Kaczkowski, PT, DPT, MS is a medicare enrolled "Physical Therapist" provider in Fox Lake, Illinois. His current practice location is 145 Sayton Rd Ste F, Fox Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 629-5536.

Nicholas Kaczkowski is licensed to practice in Illinois (license number 070025353) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083219596.

Contact Information

	Nicholas Kaczkowski, PT, DPT, MS
	145 Sayton Rd Ste F, Fox Lake, IL 60020-1773
	(847) 629-5536
	(847) 529-5163

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Kaczkowski
Gender	Male
Speciality	Physical Therapist
Location	145 Sayton Rd Ste F, Fox Lake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083219596
Provider Enumeration Date: 12/02/2020
Last Update Date: 12/02/2020

Medicare PECOS Information:

PECOS PAC ID: 9133531874
Enrollment ID: I20210125002281

Medical Identifiers

Medical identifiers for Nicholas Kaczkowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083219596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070025353 (Illinois)	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. Nicholas Kaczkowski allows following entities to bill medicare on his behalf.

Provider Name	Advantage Physical Therapy & Sports Rehab, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881773463 PECOS PAC ID: 8022016336 Enrollment ID: O20061121000412

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. Nicholas Kaczkowski 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
Nicholas Kaczkowski, PT, DPT, MS 3921 30th Ave Ste C, Kenosha, WI 53144-1939 Ph: (262) 925-5004	Nicholas Kaczkowski, PT, DPT, MS 145 Sayton Rd Ste F, Fox Lake, IL 60020-1773 Ph: (847) 629-5536

Reviews and Comments

Physical Therapist in Fox Lake, IL

Accelerated Rehabilitation Center Of Kenosha Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442
Kirsten Nicole Schreiner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Lilac Ave, Fox Lake, IL 60020 Phone: 847-973-8800
Crystal C Scholten, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440
Mrs. Michelle Perry Shamash, OTRL CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 145 Sayton Rd Ste F, Fox Lake, IL 60020 Phone: 847-629-5536 Fax: 847-629-5163
Jacob Brown, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440
Dean Papadopoulos, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442

Nicholas Kaczkowski, PT, DPT, MS - Medicare Physical Therapist in Fox Lake, IL