Caribou Physical Therapy P.c. in Ponderay, ID - Medicare Physical Therapist Provider

Caribou Physical Therapy P.c. is a medicare enrolled "Physical Therapist" provider in Ponderay, Idaho. Their current practice location is 30336 Highway 200 Ste B, Ponderay, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 265-8333.

Caribou Physical Therapy P.c. is licensed to practice in Idaho (license number 225100000X) and it also participates in the medicare program. Caribou Physical Therapy P.c. 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 1366698003.

Contact Information

	Caribou Physical Therapy P.c.
	30336 Highway 200 Ste B, Ponderay, ID 83852-9775
	(208) 265-8333
	(208) 263-1394

Map and Direction

Healthcare Provider's Profile

Full Name	Caribou Physical Therapy P.c.
Type	Facility
Speciality	Physical Therapist
Location	30336 Highway 200 Ste B, Ponderay, Idaho
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366698003
Provider Enumeration Date: 08/13/2008
Last Update Date: 08/17/2012

Medicare PECOS Information:

PECOS PAC ID: 2860553112
Enrollment ID: O20081205000273

Medical Identifiers

Medical identifiers for Caribou Physical Therapy P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366698003	NPI	-	NPPES
TD780	Other		BLUE CROSS
000010023365	Other	ID	BLUE SHIELD
804274300	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	225100000X (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. Caribou Physical Therapy P.c. acts as a billing entity for following providers:

Provider Name	Paula A Lund
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1306858311 PECOS PAC ID: 4880626704 Enrollment ID: I20050831000399

Provider Name	Christian A Vanderford
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1770747404 PECOS PAC ID: 7618041831 Enrollment ID: I20080806000679

Provider Name	Alison Tepas
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1164879409 PECOS PAC ID: 9638509037 Enrollment ID: I20200615002123

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. Caribou Physical Therapy P.c. 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
Caribou Physical Therapy P.c. 30336 Highway 200 Ste B, Ponderay, ID 83852-9775 Ph: (208) 265-8333	Caribou Physical Therapy P.c. 30336 Highway 200 Ste B, Ponderay, ID 83852-9775 Ph: (208) 265-8333

Reviews and Comments

Physical Therapist in Ponderay, ID

K. Garrett Fischer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30336 Highway 200 Ste B, Ponderay, ID 83852 Phone: 208-265-8333 Fax: 208-263-1394
Eden Hospice At The Inland Northwest, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 204 Triangle Dr, Ponderay, ID 83852 Phone: 208-255-1640
Alice Loraine, DPT, OMS Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 Triangle Dr Ste E, Ponderay, ID 83852 Phone: 208-946-5364 Fax: 208-946-5364
Eric Demers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30336 Highway 200 Ste B, Ponderay, ID 83852 Phone: 208-265-8333 Fax: 208-263-1394
Eden Home Health Physical Therapist Medicare: Medicare Enrolled Practice Location: 204 Triangle Dr, Ponderay, ID 83852 Phone: 208-255-1640
Mrs. Traci D Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Tibbetts Dr, Ponderay, ID 83852 Phone: 208-255-7337 Fax: 208-561-9705

Caribou Physical Therapy P.c. - Medicare Physical Therapist in Ponderay, ID