Guymon Physical Therapy And Wellness Pllc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Guymon, Oklahoma. Their current practice location is
211 Nw 5th St, Guymon, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 338-4789.
Guymon Physical Therapy And Wellness Pllc is licensed to practice in Oklahoma (license number 3766) and it also participates in the medicare program. Guymon Physical Therapy And Wellness 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 1790048882.
Healthcare Provider's Profile
| Full Name | Guymon Physical Therapy And Wellness Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 211 Nw 5th St, Guymon, Oklahoma |
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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: 1790048882
- Provider Enumeration Date: 06/22/2012
- Last Update Date: 10/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 2264698810
- Enrollment ID: O20120725000819
Medical Identifiers
Medical identifiers for Guymon Physical Therapy And Wellness Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790048882 | NPI | - | NPPES |
| 12413288 | Other | OK | CAQH |
| 200459990A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 3766 (Oklahoma) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | 1929 (Oklahoma) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Guymon Physical Therapy And Wellness Pllc acts as a billing entity for following providers:
| Provider Name | Jacob Lee Tuttle |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1619099942
PECOS PAC ID: 3173789724
Enrollment ID: I20120725000893 |
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| Provider Name | Rachel Inez Jones |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1346503661
PECOS PAC ID: 6800035957
Enrollment ID: I20130620000447 |
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| Provider Name | Kyrie A Mckee |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1003331844
PECOS PAC ID: 1456619337
Enrollment ID: I20171226000200 |
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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. Guymon Physical Therapy And Wellness 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 |
|---|
Guymon Physical Therapy And Wellness Pllc
211 Nw 5th St,
Guymon, OK 73942-5801
Ph: (580) 338-4789 | Guymon Physical Therapy And Wellness Pllc
211 Nw 5th St,
Guymon, OK 73942-5801
Ph: (580) 338-4789 |
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