Autumn Grove, - Medicare Physical Therapist in Hayden, ID

Autumn Grove, is a medicare enrolled "Physical Therapist" provider in Hayden, Idaho. Her current practice location is 8238 N Government Way, Hayden, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 762-2100.

Autumn Grove is licensed to practice in Idaho (license number PT-5390) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033596747.

Contact Information

Autumn Grove,
8238 N Government Way,
Hayden, ID 83835-5034
(208) 762-2100
(208) 762-2101

Map and Direction




Healthcare Provider's Profile

Full NameAutumn Grove
GenderFemale
SpecialityPhysical Therapist
Location8238 N Government Way, Hayden, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033596747
  • Provider Enumeration Date: 05/01/2015
  • Last Update Date: 08/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032569033
  • Enrollment ID: I20240102003960

Medical Identifiers

Medical identifiers for Autumn Grove such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033596747NPI-NPPES
PT-5390OtherIDIDAHO STATE PHYSICAL THERAPY LICENSE
PTL. 0013479OtherCOCOLORADO STATE PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic PTL. 0013479 (Colorado)Secondary
225100000XPhysical Therapist PT-5390 (Idaho)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. Autumn Grove allows following entities to bill medicare on her behalf.
Provider NameLake City Physical Therapy P A
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952521411
PECOS PAC ID: 3678465234
Enrollment ID: O20040503001343

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. Autumn Grove 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
Autumn Grove,
8238 N Government Way,
Hayden, ID 83835-5034

Ph: (208) 762-2100
Autumn Grove,
8238 N Government Way,
Hayden, ID 83835-5034

Ph: (208) 762-2100

Reviews and Comments


Physical Therapist in Hayden, ID

Laura Handyside Steininger, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 8382 N Wayne Dr Ste 204, Hayden, ID 83835
Phone: 208-719-9071    Fax: 208-719-9073
Erica Lea Chvilicek, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8257 N Cornerstone Dr, Hayden, ID 83835
Phone: 208-762-0881    
Jeremy Albert Dye, M.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1172 W Hayden Ave, Hayden, ID 83835
Phone: 208-773-8111    Fax: 208-773-8385
Teri Ann Venera, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8382 N Wayne Dr, Hayden, ID 83835
Phone: 208-758-0484    Fax: 208-485-4781
Adam Michael Borg, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1172 W Hayden Ave, Hayden, ID 83835
Phone: 208-762-3332    Fax: 208-762-4268
Justin Thomas Kane, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1172 W Hayden Ave, Hayden, ID 83835
Phone: 208-762-3332    Fax: 208-762-4268

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.