Bluegrass Therapy Pllc is a medicare enrolled "Clinic/center" provider in Prestonsburg, Kentucky. Their current practice location is
1191 S Lake Dr, Prestonsburg, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(606) 791-7435.
Bluegrass Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Bluegrass Therapy Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1063066009.
Healthcare Provider's Profile
| Full Name | Bluegrass Therapy Pllc |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 1191 S Lake Dr, Prestonsburg, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063066009
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 12/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 2062847452
- Enrollment ID: O20200113001181
Medical Identifiers
Medical identifiers for Bluegrass Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063066009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Bluegrass Therapy Pllc acts as a billing entity for following providers:
| Provider Name | Mara Childers |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1003284480
PECOS PAC ID: 7315372703
Enrollment ID: I20200113001287 |
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| Provider Name | Kimberly Joseph |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1225681075
PECOS PAC ID: 3476988874
Enrollment ID: I20200113001381 |
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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. Bluegrass Therapy Pllc 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 |
|---|
Bluegrass Therapy Pllc
1191 S Lake Dr,
Prestonsburg, KY 41653-1349
Ph: (606) 791-7435 | Bluegrass Therapy Pllc
1191 S Lake Dr,
Prestonsburg, KY 41653-1349
Ph: (606) 791-7435 |
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