Athletico, Ltd is a medicare enrolled "Clinic/center" provider in Pontotoc, Mississippi. Their current practice location is
111 Highway 15 S, Pontotoc, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(662) 586-2444.
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 1871223610.
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 | 111 Highway 15 S, Pontotoc, Mississippi |
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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: 1871223610
- Provider Enumeration Date: 06/14/2022
- Last Update Date: 06/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789602681
- Enrollment ID: O20230818000106
Medical Identifiers
Medical identifiers for Athletico, Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871223610 | 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) 575-1980 | Athletico, Ltd
111 Highway 15 S,
Pontotoc, MS 38863-2628
Ph: (662) 586-2444 |
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