Taylor Husom, in Port Washington, WI - Medicare Physical Therapist Provider

Taylor Husom, is a medicare enrolled "Physical Therapist" provider in Port Washington, Wisconsin. His current practice location is 1300 W Lincoln Ave, Port Washington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (479) 201-6098.

Taylor Husom is licensed to practice in Wisconsin (license number 15007) 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 1629693676.

Contact Information

	Taylor Husom,
	1300 W Lincoln Ave, Port Washington, WI 53074-2098
	(479) 201-6098
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Husom
Gender	Male
Speciality	Physical Therapist
Location	1300 W Lincoln Ave, Port Washington, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629693676
Provider Enumeration Date: 06/15/2020
Last Update Date: 06/15/2020

Medicare PECOS Information:

PECOS PAC ID: 6406275932
Enrollment ID: I20201001001776

Medical Identifiers

Medical identifiers for Taylor Husom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629693676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15007 (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 Husom allows following entities to bill medicare on his behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978

Provider Name	Great Lakes Healthcare Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1184282618 PECOS PAC ID: 5395079719 Enrollment ID: O20190730000104

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 Husom 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 Husom, 1300 W Lincoln Ave, Port Washington, WI 53074-2098 Ph: () -	Taylor Husom, 1300 W Lincoln Ave, Port Washington, WI 53074-2098 Ph: (479) 201-6098

Reviews and Comments

Physical Therapist in Port Washington, WI

Sheri L Bunyan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1119 N Wisconsin St, Port Washington, WI 53074 Phone: 262-284-5892
Brianna Rae Zimmerman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1119 N Wisconsin St, Port Washington, WI 53074 Phone: 262-284-5892
Maja Kern, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100
David Arthur Peterson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-2261
Breanne N Beres, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100
Mrs. Kimberly Burns Klug, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Lake Hills Medical Complex, Port Washington, WI 53074 Phone: 262-284-2261
Mr. Anthony Jack Ettmayer Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1119 N Wisconsin St, Port Washington, WI 53074 Phone: 262-284-5892

Taylor Husom, - Medicare Physical Therapist in Port Washington, WI