Danielle Prom, DPT in Cloquet, MN - Medicare Physical Therapist Provider

Danielle Prom, DPT is a medicare enrolled "Physical Therapist" provider in Cloquet, Minnesota. Her current practice location is 701 Horizon Cir, Cloquet, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 879-6956.

Danielle Prom is licensed to practice in Minnesota (license number 9184) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306369319.

Contact Information

	Danielle Prom, DPT
	701 Horizon Cir, Cloquet, MN 55720-3051
	(218) 879-6956
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Danielle Prom
Gender	Female
Speciality	Physical Therapist
Location	701 Horizon Cir, Cloquet, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306369319
Provider Enumeration Date: 07/21/2017
Last Update Date: 07/21/2017

Medicare PECOS Information:

PECOS PAC ID: 1658646823
Enrollment ID: I20171014000063

Medical Identifiers

Medical identifiers for Danielle Prom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306369319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9184 (Minnesota)	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. Danielle Prom allows following entities to bill medicare on her behalf.

Provider Name	Odom Sports Medicine Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20131004000063

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. Danielle Prom 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
Danielle Prom, DPT 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 Ph: (952) 224-1919	Danielle Prom, DPT 701 Horizon Cir, Cloquet, MN 55720-3051 Ph: (218) 879-6956

Reviews and Comments

Physical Therapist in Cloquet, MN

Joseph Urban Quade, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794
Stephanie Ann Elling, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794
Amanda Marie Dornhecker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227
Kathryn Dorothy Roufs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805
Kelly Lynn Burgner, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805
Park Avenue Therapies Physical Therapist Medicare: Medicare Enrolled Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794

Danielle Prom, DPT - Medicare Physical Therapist in Cloquet, MN