Taylor Boehle, DPT is a medicare enrolled "Physical Therapist" provider in River Hills, Wisconsin. Her current practice location is
7800 N Green Bay Rd, River Hills, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 269-6598.
Taylor Boehle is licensed to practice in Wisconsin (license number 14799-24) 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 1487298766.
Healthcare Provider's Profile
| Full Name | Taylor Boehle |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 7800 N Green Bay Rd, River Hills, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487298766
- Provider Enumeration Date: 10/30/2019
- Last Update Date: 10/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 1456785914
- Enrollment ID: I20191217001041
Medical Identifiers
Medical identifiers for Taylor Boehle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487298766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 14799-24 (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. Taylor Boehle allows following entities to bill medicare on her behalf.
| Provider Name | Sundance Rehabilitation Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1073912119 PECOS PAC ID: 7911815329 Enrollment ID: O20140917001161 |
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| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245755487 PECOS PAC ID: 6507832573 Enrollment ID: O20170915001646 |
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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. Taylor Boehle 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 |
Taylor Boehle, DPT W242n6616 Locust St, Sussex, WI 53089-2925 Ph: () - | Taylor Boehle, DPT 7800 N Green Bay Rd, River Hills, WI 53217-2047 Ph: (414) 269-6598 |
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