Prairie Ridge Orthopedic is a
Massage Therapist based in Noble, Illinois. Prairie Ridge Orthopedic is licensed to practice in * (Not Available) (license number ) and their current practice location is
1750 E Colborn Camp Ln, Noble, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 302-1703.
NPI number for Prairie Ridge Orthopedic is 1033718192 and their current mailing address is 1750 E Colborn Camp Ln, Noble, Illinois. Prairie Ridge Orthopedic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1033718192.
Healthcare Provider's Profile
Full Name | Prairie Ridge Orthopedic |
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Type | Facility |
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Speciality | Massage Therapist |
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Location | 1750 E Colborn Camp Ln, Noble, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033718192
- Provider Enumeration Date: 10/20/2020
- Last Update Date: 11/15/2022
Medical Identifiers
Medical identifiers for Prairie Ridge Orthopedic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033718192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
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. Prairie Ridge Orthopedic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Prairie Ridge Orthopedic 1750 E Colborn Camp Ln, Noble, IL 62868-2348 Ph: (618) 302-1703 | Prairie Ridge Orthopedic 1750 E Colborn Camp Ln, Noble, IL 62868-2348 Ph: (618) 302-1703 |
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