Sprout Therapy Services Llc is a medicare enrolled "Occupational Therapist" provider in Frazee, Minnesota. Their current practice location is
50438 W Lake Seven Rd, Frazee, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(218) 234-2094.
Sprout Therapy Services Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sprout Therapy Services Llc
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 1376228320.
Healthcare Provider's Profile
Full Name | Sprout Therapy Services Llc |
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Type | Facility |
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Speciality | Occupational Therapist |
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Location | 50438 W Lake Seven Rd, Frazee, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376228320
- Provider Enumeration Date: 06/19/2023
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466804372
- Enrollment ID: O20240405001699
Medical Identifiers
Medical identifiers for Sprout Therapy Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376228320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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.
Sprout Therapy Services Llc acts as a billing entity for following providers:
Provider Name | Jessica Reishus Davidson |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1205444619 PECOS PAC ID: 2264849173 Enrollment ID: I20240405001789 |
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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. Sprout Therapy Services Llc 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 |
Sprout Therapy Services Llc Po Box 193, Vergas, MN 56587-0193 Ph: (218) 234-2094 | Sprout Therapy Services Llc 50438 W Lake Seven Rd, Frazee, MN 56544-8919 Ph: (218) 234-2094 |
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