Bravehearts At The Bergmann Center is a
Physical Therapist based in Poplar Grove, Illinois. Bravehearts At The Bergmann Center is licensed to practice in Illinois (license number 070008709) and their current practice location is
4950 Il Route 173, Poplar Grove, Illinois. It can be reached at their office (for appointments etc.) via phone at
(815) 765-2113.
NPI number for Bravehearts At The Bergmann Center is 1497060743 and their current mailing address is 4950 Il Route 173, Poplar Grove, Illinois. Bravehearts At The Bergmann Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1497060743.
Healthcare Provider's Profile
Full Name | Bravehearts At The Bergmann Center |
---|
Type | Facility |
---|
Speciality | Physical Therapist |
---|
Location | 4950 Il Route 173, Poplar Grove, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497060743
- Provider Enumeration Date: 08/11/2010
- Last Update Date: 08/11/2010
Medical Identifiers
Medical identifiers for Bravehearts At The Bergmann Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497060743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070008709 (Illinois) | Primary |
225X00000X | Occupational Therapist | 056004082 (Illinois) | Secondary |
235Z00000X | Speech-language Pathologist | 146004807 (Illinois) | Secondary |
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. Bravehearts At The Bergmann Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bravehearts At The Bergmann Center 4950 Il Route 173, Poplar Grove, IL 61065-9718 Ph: (815) 765-2113 | Bravehearts At The Bergmann Center 4950 Il Route 173, Poplar Grove, IL 61065-9718 Ph: (815) 765-2113 |
Reviews and Comments