Idumange T Idumange, PT in N Little Rock, AR - Medicare Physical Therapist Provider

Idumange T Idumange, PT is a medicare enrolled "Physical Therapist" provider in N Little Rock, Arkansas. His current practice location is 505 W Pershing Blvd Ste D, N Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 812-4970.

Idumange T Idumange is licensed to practice in Arkansas (license number PT1965) 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 1083864649.

Contact Information

	Idumange T Idumange, PT
	505 W Pershing Blvd Ste D, N Little Rock, AR 72114-2157
	(501) 812-4970
	(501) 812-4972

Map and Direction

Healthcare Provider's Profile

Full Name	Idumange T Idumange
Gender	Male
Speciality	Physical Therapist
Location	505 W Pershing Blvd Ste D, N Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083864649
Provider Enumeration Date: 09/19/2008
Last Update Date: 10/31/2024

Medicare PECOS Information:

PECOS PAC ID: 3274068101
Enrollment ID: I20241202000189

Medical Identifiers

Medical identifiers for Idumange T Idumange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083864649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT1965 (Arkansas)	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. Idumange T Idumange allows following entities to bill medicare on his behalf.

Provider Name	Hunt Physical Therapy, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1811944614 PECOS PAC ID: 1951315720 Enrollment ID: O20060131000887

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. Idumange T Idumange 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
Idumange T Idumange, PT Po Box 9178, Russellville, AR 72811-9178 Ph: (008) 824-4094	Idumange T Idumange, PT 505 W Pershing Blvd Ste D, N Little Rock, AR 72114-2157 Ph: (501) 812-4970

Reviews and Comments

Physical Therapist in N Little Rock, AR

Mr. Paul Cavnor, MS.PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5912 Cypress Creek Dr, N Little Rock, AR 72116 Phone: 501-771-4433 Fax: 501-771-2005
Mr. Stanley Jenkins Harris, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4801 Fairway Ave, N Little Rock, AR 72116 Phone: 501-758-1300 Fax: 501-758-1316
Mrs. Rebel Flynn Wilson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5912 Cypress Creek Dr, N Little Rock, AR 72116 Phone: 501-771-2005 Fax: 501-771-2005
Mr. Brad Smith, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5912 Cypress Creek Dr, N Little Rock, AR 72116 Phone: 501-771-2005 Fax: 501-771-2005
Ms. Mala Jean Waller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, N Little Rock, AR 72114 Phone: 501-257-1046
Custom Care Therapy Corp. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 Edgemere St, N Little Rock, AR 72116 Phone: 501-812-6451 Fax: 501-812-6451

Idumange T Idumange, PT - Medicare Physical Therapist in N Little Rock, AR