Athletico Ltd is a medicare enrolled "Clinic/center" provider in Dallas, Texas. Their current practice location is
1201 Elm St Ste 121, Dallas, Texas. You can reach out to their office (for appointments etc.) via phone at
(469) 620-5070.
Athletico Ltd is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Athletico Ltd
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 1588244222.
Healthcare Provider's Profile
| Full Name | Athletico Ltd |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 1201 Elm St Ste 121, Dallas, Texas |
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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: 1588244222
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 04/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789602681
- Enrollment ID: O20230619001645
Medical Identifiers
Medical identifiers for Athletico Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588244222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (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. Athletico Ltd 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 |
|---|
Athletico Ltd
2122 York Rd Ste 300,
Oak Brook, IL 60523-1925
Ph: (630) 575-6200 | Athletico Ltd
1201 Elm St Ste 121,
Dallas, TX 75270-2014
Ph: (469) 620-5070 |
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