Vidit Atul Phanse, in Lockport, IL - Medicare Physical Therapist In Private Practice Provider

Vidit Atul Phanse, is a medicare enrolled "Physical Therapist" provider in Lockport, Illinois. He graduated from medical school in 2017 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 Athletic And Therapeutic Institute Of Bourbonnais, Llc and his current practice location is 1065 E 9th St, Lockport, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 588-1366.

Vidit Atul Phanse is licensed to practice in Illinois (license number 070022922) 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 1043731540.

Contact Information

	Vidit Atul Phanse,
	1065 E 9th St, Lockport, IL 60441-3567
	(815) 588-1366
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vidit Atul Phanse
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	9 Years
Location	1065 E 9th St, Lockport, Illinois
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:

Vidit Atul Phanse graduated from medical school in 2017

NPI Data:

NPI Number: 1043731540
Provider Enumeration Date: 07/05/2017
Last Update Date: 03/06/2026

Medicare PECOS Information:

PECOS PAC ID: 4587067921
Enrollment ID: I20210722003900

Medical Identifiers

Medical identifiers for Vidit Atul Phanse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043731540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070022922 (Illinois)	Primary
225100000X	Physical Therapist	P23372 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletic And Therapeutic Institute Of Bourbonnais, Llc	4183692577	137

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. Vidit Atul Phanse allows following entities to bill medicare on his behalf.

Provider Name	Athletic And Therapeutic Institute Of Naperville, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494

Provider Name	Athletic And Therapeutic Institute Of Bourbonnais, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220

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. Vidit Atul Phanse 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
Vidit Atul Phanse, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Vidit Atul Phanse, 1065 E 9th St, Lockport, IL 60441-3567 Ph: (815) 588-1366

Reviews and Comments

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Vidit Atul Phanse, - Medicare Physical Therapist in Lockport, IL