Dupont Wellness Pllc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Boise, Idaho. Their current practice location is
1460 E Shenandoah Dr, Boise, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 570-3004.
Dupont Wellness Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dupont Wellness Pllc
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 1861254278.
Healthcare Provider's Profile
| Full Name | Dupont Wellness Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1460 E Shenandoah Dr, Boise, Idaho |
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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: 1861254278
- Provider Enumeration Date: 01/30/2024
- Last Update Date: 04/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426494238
- Enrollment ID: O20240314001400
Medical Identifiers
Medical identifiers for Dupont Wellness Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861254278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (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.
Dupont Wellness Pllc acts as a billing entity for following providers:
| Provider Name | Corey E Dupont |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1639334279
PECOS PAC ID: 3577639392
Enrollment ID: I20080902000441 |
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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. Dupont Wellness Pllc 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 |
|---|
Dupont Wellness Pllc
1460 E Shenandoah Dr,
Boise, ID 83712-6657
Ph: (208) 570-3004 | Dupont Wellness Pllc
1460 E Shenandoah Dr,
Boise, ID 83712-6657
Ph: (208) 570-3004 |
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