Benjamin Thomas Moore, DPT, PT in Chubbuck, ID - Medicare Physical Therapist Provider

Benjamin Thomas Moore, DPT, PT is a medicare enrolled "Physical Therapist" provider in Chubbuck, Idaho. His current practice location is 445 E Chubbuck Rd, Chubbuck, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 244-7794.

Benjamin Thomas Moore is licensed to practice in Idaho (license number PT-9025) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447009220.

Contact Information

	Benjamin Thomas Moore, DPT, PT
	445 E Chubbuck Rd, Chubbuck, ID 83202-1815
	(208) 244-7794
	(208) 922-7242

Map and Direction

Healthcare Provider's Profile

Full Name	Benjamin Thomas Moore
Gender	Male
Speciality	Physical Therapist
Location	445 E Chubbuck Rd, Chubbuck, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447009220
Provider Enumeration Date: 05/15/2024
Last Update Date: 05/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3274075759
Enrollment ID: I20240612001575

Medical Identifiers

Medical identifiers for Benjamin Thomas Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447009220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-9025 (Idaho)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin Thomas Moore allows following entities to bill medicare on his behalf.

Provider Name	Wright Physical Therapy Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730732025 PECOS PAC ID: 1759612641 Enrollment ID: O20191007003583

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. Benjamin Thomas Moore 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
Benjamin Thomas Moore, DPT, PT 1411 Falls Ave E Ste 401, Twin Falls, ID 83301-3455 Ph: (208) 244-7794	Benjamin Thomas Moore, DPT, PT 445 E Chubbuck Rd, Chubbuck, ID 83202-1815 Ph: (208) 244-7794

Reviews and Comments

Physical Therapist in Chubbuck, ID

Derrick Northrup, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 Taylor Ln, Chubbuck, ID 83202 Phone: 208-221-6952 Fax: 844-946-0909
Sophia M Garrett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 265 E Chubbuck Rd Ste A, Chubbuck, ID 83202 Phone: 208-417-0011 Fax: 888-437-2431
Flicker Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882 Fax: 208-904-2990
Dr. Timothy Andrew Flicker, MPT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202 Phone: 208-237-1882
Custom Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-244-1882
Sarah Ingalls, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4425 Burley Dr, Chubbuck, ID 83202 Phone: 208-637-1100
Hannah's Place Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 240 W Burnside Ave Ste D, Chubbuck, ID 83202 Phone: 208-904-1112 Fax: 866-818-2688

Benjamin Thomas Moore, DPT, PT - Medicare Physical Therapist in Chubbuck, ID