Beauregard Physical Therapy Clinic, Inc in Deridder, LA - Medicare Physical Therapist Provider

Beauregard Physical Therapy Clinic, Inc is a medicare enrolled "Physical Therapist" provider in Deridder, Louisiana. Their current practice location is 309 S Washington St, Deridder, Louisiana. You can reach out to their office (for appointments etc.) via phone at (337) 462-6097.

Beauregard Physical Therapy Clinic, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Beauregard Physical Therapy Clinic, Inc 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 1003080367.

Contact Information

	Beauregard Physical Therapy Clinic, Inc
	309 S Washington St, Deridder, LA 70634-4861
	(337) 462-6097
	(337) 462-0531

Map and Direction

Healthcare Provider's Profile

Full Name	Beauregard Physical Therapy Clinic, Inc
Type	Facility
Speciality	Physical Therapist
Location	309 S Washington St, Deridder, Louisiana
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003080367
Provider Enumeration Date: 04/17/2008
Last Update Date: 07/18/2022

Medicare PECOS Information:

PECOS PAC ID: 6002967684
Enrollment ID: O20090622000156

Medical Identifiers

Medical identifiers for Beauregard Physical Therapy Clinic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003080367	NPI	-	NPPES
PT06472	Other	LA	LA PHYSICAL THERAPY BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical 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. Beauregard Physical Therapy Clinic, Inc acts as a billing entity for following providers:

Provider Name	Jamey J Johnson
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1881653632 PECOS PAC ID: 7810212693 Enrollment ID: I20150219001636

Provider Name	Mason W Shaw
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1245800051 PECOS PAC ID: 8820491376 Enrollment ID: I20210722000059

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. Beauregard Physical Therapy Clinic, Inc 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
Beauregard Physical Therapy Clinic, Inc 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097	Beauregard Physical Therapy Clinic, Inc 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097

Reviews and Comments

Physical Therapist in Deridder, LA

Mr. Mason Shaw, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 309 S Washington St, Deridder, LA 70634 Phone: 337-462-6097 Fax: 337-462-0531
Premier Performance Physical Therapy And Sports Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 243 E 1st St, Deridder, LA 70634 Phone: 936-465-6282
Dr. Russell Warren Hearne, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 192 Highway 3226, Deridder, LA 70634 Phone: 936-465-6282
Dr. Cody Ray Leblanc, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 192 Highway 3226, Deridder, LA 70634 Phone: 337-375-1013
Dr. Rebecca Kohara Broussard, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 S Washington St, Deridder, LA 70634 Phone: 337-462-6097 Fax: 337-462-0531
Tracy Winkley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1744 Ball Rd, Deridder, LA 70634 Phone: 337-396-8598 Fax: 337-463-2918

Beauregard Physical Therapy Clinic, Inc - Medicare Physical Therapist in Deridder, LA