Kevin Wisdom, PT - Medicare Physical Therapist in Fayetteville, AR

Kevin Wisdom, PT is a medicare enrolled "Physical Therapist" provider in Fayetteville, Arkansas. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ozark Orthopaedics, Pa and his current practice location is 3317 N Wimberly Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 521-2752.

Kevin Wisdom is licensed to practice in Arkansas (license number PT2490) 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 1063485670.

Contact Information

Kevin Wisdom, PT
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056
(479) 521-2752
(479) 444-6942



Healthcare Provider's Profile

Full NameKevin Wisdom
GenderMale
SpecialityPhysical Therapy
Experience24 Years
Location3317 N Wimberly Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Wisdom graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1063485670
  • Provider Enumeration Date: 02/13/2006
  • Last Update Date: 12/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2567434483
  • Enrollment ID: I20040811000566

Medical Identifiers

Medical identifiers for Kevin Wisdom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063485670NPI-NPPES
P00162005OtherARRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT2490 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ozark Orthopaedics, Pa286047718949

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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. Kevin Wisdom allows following entities to bill medicare on his behalf.
Provider NameOzark Orthopaedics, Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1649210584
PECOS PAC ID: 2860477189
Enrollment ID: O20040621001974

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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. Kevin Wisdom 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 AddressPractice Location Address
Kevin Wisdom, PT
Po Box 1608,
Fayetteville, AR 72702-1608

Ph: (479) 521-2752
Kevin Wisdom, PT
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056

Ph: (479) 521-2752

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Physical Therapist in Fayetteville, AR

Karen Hairston, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703
Phone: 479-521-8326    Fax: 479-521-5439
Fernando Castillo, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3383 N Mana Ct Ste 201, Fayetteville, AR 72703
Phone: 479-571-6780    
Kymbrly Hannah, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703
Phone: 479-521-8326    Fax: 479-521-5439
Ms. Heather Kristine Vaughn, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1125 N College Ave, Fayetteville, AR 72703
Phone: 479-713-8630    Fax: 479-713-8639
Megan Landry Wilson, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1923 E Joyce Blvd, Fayetteville, AR 72703
Phone: 479-442-7220    
Travis Alexander, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704
Phone: 479-435-6712    Fax: 844-317-0394
Winston Tyler Futrell, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703
Phone: 479-595-0711    

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