Sierra Renee Kaczocha, in New London, WI - Medicare Physical Therapist In Private Practice Provider

Sierra Renee Kaczocha, is a medicare enrolled "Physical Therapist" provider in New London, Wisconsin. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Colorado Athletic Conditioning Clinic Lowry Professional Llc and her current practice location is 1405 Mill St, New London, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 531-2031.

Sierra Renee Kaczocha is licensed to practice in Wisconsin (license number CP053720T) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033952197.

Contact Information

	Sierra Renee Kaczocha,
	1405 Mill St, New London, WI 54961-2155
	(920) 531-2031
	(920) 531-2056

Map and Direction

Healthcare Provider's Profile

Full Name	Sierra Renee Kaczocha
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	2 Years
Location	1405 Mill St, New London, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sierra Renee Kaczocha graduated from medical school in 2024

NPI Data:

NPI Number: 1033952197
Provider Enumeration Date: 06/17/2024
Last Update Date: 03/11/2026

Medicare PECOS Information:

PECOS PAC ID: 0345775177
Enrollment ID: I20241203000829

Medical Identifiers

Medical identifiers for Sierra Renee Kaczocha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033952197	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTL.0020243 (Colorado)	Secondary
225100000X	Physical Therapist	CP050081T (Arizona)	Secondary
225100000X	Physical Therapist	CP053720T (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Colorado Athletic Conditioning Clinic Lowry Professional Llc	0648293605	40

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. Sierra Renee Kaczocha allows following entities to bill medicare on her behalf.

Provider Name	Colorado Athletic Conditioning Clinic Lowry Professional Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720162084 PECOS PAC ID: 0648293605 Enrollment ID: O20060105000571

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. Sierra Renee Kaczocha 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
Sierra Renee Kaczocha, 1025 E Broadway Rd Ste 101, Tempe, AZ 85282-1535 Ph: () -	Sierra Renee Kaczocha, 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2031

Reviews and Comments

Physical Therapist in New London, WI

Courtney Nicole Garcia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000
Ms. Julie Ziegler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098
Vanessa Lynn Uitenbroek, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2031
Katelyn M Basden, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 Burton Rd Ste 107, New London, WI 54961 Phone: 920-982-3670
Alex John Garvaglia, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2031
North Eastern Wisconsin Rehabilitation Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Smith St, New London, WI 54961 Phone: 920-982-5440

Sierra Renee Kaczocha, - Medicare Physical Therapist in New London, WI