Prairie Independence Pllc is a medicare enrolled "Occupational Therapist" provider in Claremont, South Dakota. Their current practice location is
12057 411th Ave, Claremont, South Dakota. You can reach out to their office (for appointments etc.) via phone at
(605) 290-1163.
Prairie Independence Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Prairie Independence 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 1306597232.
Healthcare Provider's Profile
| Full Name | Prairie Independence Pllc |
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| Type | Facility |
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| Speciality | Occupational Therapist |
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| Location | 12057 411th Ave, Claremont, South Dakota |
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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: 1306597232
- Provider Enumeration Date: 01/12/2022
- Last Update Date: 01/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133596018
- Enrollment ID: O20221107000331
Medical Identifiers
Medical identifiers for Prairie Independence Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306597232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (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.
Prairie Independence Pllc acts as a billing entity for following providers:
| Provider Name | Jennifer Gustafson |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1578717112
PECOS PAC ID: 3173832870
Enrollment ID: I20221108002174 |
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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. Prairie Independence 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 |
|---|
Prairie Independence Pllc
12057 411th Ave,
Claremont, SD 57432-7302
Ph: (605) 290-1163 | Prairie Independence Pllc
12057 411th Ave,
Claremont, SD 57432-7302
Ph: (605) 290-1163 |
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