Ducktails Pediatric Therapy And Wellness is a
Clinic/center - Physical Therapy based in Evans, Georgia. Ducktails Pediatric Therapy And Wellness is licensed to practice in * (Not Available) (license number ) and their current practice location is
568 Blue Ridge Dr, Evans, Georgia. It can be reached at their office (for appointments etc.) via phone at
(706) 364-5262.
NPI number for Ducktails Pediatric Therapy And Wellness is 1558477695 and their current mailing address is 103 Maple Drive, Suite 8, Martinez, Georgia. Ducktails Pediatric Therapy And Wellness
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1558477695.
Healthcare Provider's Profile
| Full Name | Ducktails Pediatric Therapy And Wellness |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Physical Therapy |
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| Location | 568 Blue Ridge Dr, Evans, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558477695
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 05/18/2021
Medical Identifiers
Medical identifiers for Ducktails Pediatric Therapy And Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558477695 | NPI | - | NPPES |
| 000717274C | Medicaid | GA | |
| 000767456C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 003593 (Georgia) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT004118 (Georgia) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT008564 (Georgia) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT004423 (Georgia) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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. Ducktails Pediatric Therapy And Wellness 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 |
|---|
Ducktails Pediatric Therapy And Wellness
103 Maple Drive, Suite 8,
Martinez, GA 30907
Ph: (706) 364-5262 | Ducktails Pediatric Therapy And Wellness
568 Blue Ridge Dr,
Evans, GA 30809-3604
Ph: (706) 364-5262 |
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