Hugo Dahlstrom, is a medicare enrolled "Occupational Therapist" provider in Fort Scott, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2010 and has 14 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice I Am Rehab Llc and his current practice location is
405 Woodland Hills Blvd, Fort Scott, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 223-7073.
Hugo Dahlstrom is licensed to practice in Kansas (license number 17-02686) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578038907.
Healthcare Provider's Profile
Full Name | Hugo Dahlstrom |
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Gender | Male |
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Speciality | Occupational Therapy |
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Experience | 14 Years |
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Location | 405 Woodland Hills Blvd, Fort Scott, Kansas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Hugo Dahlstrom attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2010
NPI Data:
- NPI Number: 1578038907
- Provider Enumeration Date: 10/12/2018
- Last Update Date: 10/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 2961742507
- Enrollment ID: I20190319001909
Medical Identifiers
Medical identifiers for Hugo Dahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578038907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 17-02686 (Kansas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
I Am Rehab Llc | 7416297056 | 3 |
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. Hugo Dahlstrom allows following entities to bill medicare on his behalf.
Provider Name | I Am Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1609343094 PECOS PAC ID: 7416297056 Enrollment ID: O20190319001401 |
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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. Hugo Dahlstrom 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 |
Hugo Dahlstrom, 13943 W 150th Ter, Olathe, KS 66062-3326 Ph: () - | Hugo Dahlstrom, 405 Woodland Hills Blvd, Fort Scott, KS 66701-8799 Ph: (620) 223-7073 |
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