Dalton J Urrutia, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Independence, Oregon. His current practice location is
1399 Monmouth St, Independence, Oregon. You can reach out to his office (for appointments etc.) via phone at
(562) 507-1140.
Dalton J Urrutia is licensed to practice in Oregon (license number 62867) 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 1124743059.
Healthcare Provider's Profile
Full Name | Dalton J Urrutia |
---|
Gender | Male |
---|
Speciality | Physical Therapist - Orthopedic |
---|
Location | 1399 Monmouth St, Independence, Oregon |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124743059
- Provider Enumeration Date: 10/04/2022
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183080542
- Enrollment ID: I20230510001807
Medical Identifiers
Medical identifiers for Dalton J Urrutia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124743059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | 62867 (Oregon) | 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. Dalton J Urrutia allows following entities to bill medicare on his behalf.
Provider Name | Therapeutic Associates Inc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
---|
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. Dalton J Urrutia 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 |
Dalton J Urrutia, PT 11918 Se Division St Ste 2121, Portland, OR 97266-1037 Ph: (562) 507-1140 | Dalton J Urrutia, PT 1399 Monmouth St, Independence, OR 97351-1126 Ph: (562) 507-1140 |
Reviews and Comments