Dae, Inc. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Fairfield, Iowa. Their current practice location is
402 W Burlington Ave Ste 200, Fairfield, Iowa. You can reach out to their office (for appointments etc.) via phone at
(641) 469-3130.
Dae, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dae, 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 1427371665.
Healthcare Provider's Profile
| Full Name | Dae, Inc. |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 402 W Burlington Ave Ste 200, Fairfield, Iowa |
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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: 1427371665
- Provider Enumeration Date: 03/02/2010
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133257645
- Enrollment ID: O20191115000126
Medical Identifiers
Medical identifiers for Dae, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427371665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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.
Dae, Inc. acts as a billing entity for following providers:
| Provider Name | Lilimore Villaflor Ramoneswells |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1619093994
PECOS PAC ID: 0446682389
Enrollment ID: I20191115000500 |
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| Provider Name | Allen Gary Laubenthal |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1396975124
PECOS PAC ID: 8022448174
Enrollment ID: I20200414000936 |
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| Provider Name | Zachary Ryan May |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1255957940
PECOS PAC ID: 5395137541
Enrollment ID: I20220119003110 |
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| Provider Name | Paige Blazina |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1407537236
PECOS PAC ID: 2163883356
Enrollment ID: I20230803004335 |
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| Provider Name | Sonia Yudhit Leyva |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1740519917
PECOS PAC ID: 7214375443
Enrollment ID: I20240405002416 |
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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. Dae, 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 |
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Dae, Inc.
11623 Arbor St,
Omaha, NE 68144-2981
Ph: (402) 334-1919 | Dae, Inc.
402 W Burlington Ave Ste 200,
Fairfield, IA 52556-3243
Ph: (641) 469-3130 |
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