Thomas N Kazanecki, PT, DPT is a medicare enrolled "Physical Therapist" provider in Edgar, Wisconsin. His current practice location is
325 S 3rd Ave Ste B, Edgar, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(800) 974-4378.
Thomas N Kazanecki is licensed to practice in Wisconsin (license number 16183-24) 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 1114633211.
Healthcare Provider's Profile
| Full Name | Thomas N Kazanecki |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 325 S 3rd Ave Ste B, Edgar, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114633211
- Provider Enumeration Date: 01/24/2023
- Last Update Date: 04/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406370790
- Enrollment ID: I20250408002569
Medical Identifiers
Medical identifiers for Thomas N Kazanecki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114633211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 16183-24 (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. Thomas N Kazanecki allows following entities to bill medicare on his behalf.
| Provider Name | Dpt Holdings Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689648602
PECOS PAC ID: 4688679293
Enrollment ID: O20100708000581 |
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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. Thomas N Kazanecki 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 |
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Thomas N Kazanecki, PT, DPT
24014 W Renwick Rd Unit 206,
Plainfield, IL 60544-8711
Ph: (800) 974-4378 | Thomas N Kazanecki, PT, DPT
325 S 3rd Ave Ste B,
Edgar, WI 54426-9293
Ph: (800) 974-4378 |
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