Tom Krzysiak, is a medicare enrolled "Physical Therapist" provider in Sodus, Michigan. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Sport Track Physical Therapy And Human Performance and his current practice location is
4132 River Rd, Sodus, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 964-1805.
Tom Krzysiak is licensed to practice in Michigan (license number 5501017915) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982258208.
Healthcare Provider's Profile
| Full Name | Tom Krzysiak |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 9 Years |
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| Location | 4132 River Rd, Sodus, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tom Krzysiak graduated from medical school in 2016
NPI Data:
- NPI Number: 1982258208
- Provider Enumeration Date: 07/25/2019
- Last Update Date: 09/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911433792
- Enrollment ID: I20241204002678
Medical Identifiers
Medical identifiers for Tom Krzysiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982258208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 5501017915 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sport Track Physical Therapy And Human Performance | 3678959699 | 2 |
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. Tom Krzysiak allows following entities to bill medicare on his behalf.
| Provider Name | Sport Track Physical Therapy And Human Performance |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295462836 PECOS PAC ID: 3678959699 Enrollment ID: O20220928002975 |
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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. Tom Krzysiak 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 |
Tom Krzysiak, 4132 River Rd, Sodus, MI 49126-9727 Ph: (989) 964-1805 | Tom Krzysiak, 4132 River Rd, Sodus, MI 49126-9727 Ph: (989) 964-1805 |
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