Ingrid J Van Duivenbode, PT is a
Physical Therapist based in South Porland, Maine. Ingrid J Van Duivenbode is licensed to practice in Maine (license number PT2381) and her current practice location is
100 Foden Rd, West, Suite 205, South Porland, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 780-8860.
NPI number for Ingrid J Van Duivenbode is 1619900263 and her current mailing address is 100 Gannett Dr Ste C, South Portland, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619900263.
Healthcare Provider's Profile
Full Name | Ingrid J Van Duivenbode |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 100 Foden Rd, West, South Porland, Maine |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619900263
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 10/16/2020
Medical Identifiers
Medical identifiers for Ingrid J Van Duivenbode such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619900263 | NPI | - | NPPES |
338210099 | Medicaid | ME | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT2381 (Maine) | Primary |
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. Ingrid J Van Duivenbode is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ingrid J Van Duivenbode, PT 100 Gannett Dr Ste C, South Portland, ME 04106-5900 Ph: (207) 828-0361 | Ingrid J Van Duivenbode, PT 100 Foden Rd, West, Suite 205, South Porland, ME 04106-2327 Ph: (207) 780-8860 |
Reviews and Comments