Taylor Wickman, in Oak Creek, WI - Medicare Physical Therapist Provider

Taylor Wickman, is a medicare enrolled "Physical Therapist" provider in Oak Creek, Wisconsin. His current practice location is 2700 W Honadel Blvd, Oak Creek, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 435-2005.

Taylor Wickman is licensed to practice in Wisconsin (license number 15942-24) 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 1922719632.

Contact Information

	Taylor Wickman,
	2700 W Honadel Blvd, Oak Creek, WI 53154-2650
	(414) 435-2005
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Wickman
Gender	Male
Speciality	Physical Therapist
Location	2700 W Honadel Blvd, Oak Creek, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922719632
Provider Enumeration Date: 12/13/2022
Last Update Date: 12/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7911364682
Enrollment ID: I20230612001807

Medical Identifiers

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

Identifier	Type	State	Issuer
1922719632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15942-24 (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 Wickman allows following entities to bill medicare on his behalf.

Provider Name	Mercy Health System Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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 Wickman 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 Wickman, 2543 W Applebrook Ln Apt 209, Oak Creek, WI 53154-8820 Ph: (906) 221-7897	Taylor Wickman, 2700 W Honadel Blvd, Oak Creek, WI 53154-2650 Ph: (414) 435-2005

Reviews and Comments

Physical Therapist in Oak Creek, WI

Mrs. Lauren Wright Rossing, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000
Sabrina Dianne Eder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7625 S Howell Ave, Oak Creek, WI 53154 Phone: 414-766-0277 Fax: 414-766-0299
Kristin Greenwald, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000
Dr. Melissa Jane Franke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000
Mrs. Kimberly Ann Backe, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7001 S Howell Ave, 800, Oak Creek, WI 53154 Phone: 414-856-0303 Fax: 414-856-9991
Mrs. Abby Marie Kurylo, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000
Daniel P. Miller, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8619 S Howell Ave, Oak Creek, WI 53154 Phone: 414-856-1888 Fax: 414-727-5779

Taylor Wickman, - Medicare Physical Therapist in Oak Creek, WI