St. Luke Community Clinic Ridgewater is a medicare enrolled "Clinic/center - Rural Health" provider in Polson, Montana. Their current practice location is
107 Ridgewater Dr, Ste A, Polson, Montana. You can reach out to their office (for appointments etc.) via phone at
(406) 883-3737.
St. Luke Community Clinic Ridgewater is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. St. Luke Community Clinic Ridgewater
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 1548612096.
Healthcare Provider's Profile
| Full Name | St. Luke Community Clinic Ridgewater |
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| Type | Facility |
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| Speciality | Clinic/center - Rural Health |
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| Location | 107 Ridgewater Dr, Ste A, Polson, Montana |
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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: 1548612096
- Provider Enumeration Date: 07/08/2016
- Last Update Date: 09/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 5496659567
- Enrollment ID: O20170411001757
Medical Identifiers
Medical identifiers for St. Luke Community Clinic Ridgewater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548612096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (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. St. Luke Community Clinic Ridgewater 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 |
|---|
St. Luke Community Clinic Ridgewater
107 Ridgewater Dr, Ste A,
Polson, MT 59860-8977
Ph: (406) 883-3737 | St. Luke Community Clinic Ridgewater
107 Ridgewater Dr, Ste A,
Polson, MT 59860-8977
Ph: (406) 883-3737 |
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