Allyson Carol Maynard, PT, DPT is a medicare enrolled "Physical Therapist" physician in Woodbury, Minnesota. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Tria Orthopaedic Center Llc and her current practice location is
155 Radio Dr, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 831-8742.
Allyson Carol Maynard is licensed to practice in Minnesota (license number 11489) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962069864.
Physician's Profile
Full Name | Allyson Carol Maynard |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 5 Years |
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Location | 155 Radio Dr, Woodbury, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Allyson Carol Maynard graduated from medical school in 2019
NPI Data:
- NPI Number: 1962069864
- Provider Enumeration Date: 05/26/2019
- Last Update Date: 08/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173858214
- Enrollment ID: I20190712000028
Medical Identifiers
Medical identifiers for Allyson Carol Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962069864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 4730 (Minnesota) | Secondary |
225100000X | Physical Therapist | 11489 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Tria Orthopaedic Center Llc | 3173570561 | 362 |
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. Allyson Carol Maynard allows following entities to bill medicare on her behalf.
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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Entity Name | Tria Orthopaedic Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
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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. Allyson Carol Maynard 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 |
Allyson Carol Maynard, PT, DPT 5430 Southridge Cir, Woodbury, MN 55129-5520 Ph: (949) 351-2635 | Allyson Carol Maynard, PT, DPT 155 Radio Dr, Woodbury, MN 55125-2619 Ph: (952) 831-8742 |
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