Wayne Hennen, RPT is a medicare enrolled "Physical Therapist" provider in Madison, Minnesota. His current practice location is
900 2nd Ave, Madison, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 598-3552.
Wayne Hennen is licensed to practice in Minnesota (license number 5338) 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 1386614865.
Healthcare Provider's Profile
| Full Name | Wayne Hennen |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 900 2nd Ave, Madison, Minnesota |
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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: 1386614865
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 06/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123092202
- Enrollment ID: I20081105000718
Medical Identifiers
Medical identifiers for Wayne Hennen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386614865 | NPI | - | NPPES |
| 5835010 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 625 (South Dakota) | Secondary |
| 225100000X | Physical Therapist | 5338 (Minnesota) | 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. Wayne Hennen allows following entities to bill medicare on his behalf.
| Provider Name | Big Stone Therapies Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124044656
PECOS PAC ID: 1254655434
Enrollment ID: O20211105001588 |
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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. Wayne Hennen 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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Wayne Hennen, RPT
500 Cross St,
Big Stone City, SD 57216-8237
Ph: (605) 541-1140 | Wayne Hennen, RPT
900 2nd Ave,
Madison, MN 56256-1006
Ph: (320) 598-3552 |
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