Ivy At Deer Lodge Llc is a medicare enrolled "Skilled Nursing Facility" provider in Deer Lodge, Montana. Their current practice location is
1100 Texas Ave, Deer Lodge, Montana. You can reach out to their office (for appointments etc.) via phone at
(406) 846-1655.
Ivy At Deer Lodge Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ivy At Deer Lodge Llc
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 1356988349.
Healthcare Provider's Profile
| Full Name | Ivy At Deer Lodge Llc |
|---|
| Type | Facility |
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| Speciality | Skilled Nursing Facility |
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| Location | 1100 Texas Ave, Deer Lodge, Montana |
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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: 1356988349
- Provider Enumeration Date: 12/09/2019
- Last Update Date: 01/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032540844
- Enrollment ID: O20200512000587
Medical Identifiers
Medical identifiers for Ivy At Deer Lodge Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356988349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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. Ivy At Deer Lodge Llc 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 |
|---|
Ivy At Deer Lodge Llc
9429 Harding Ave # 141,
Surfside, FL 33154-2803
Ph: (305) 912-9260 | Ivy At Deer Lodge Llc
1100 Texas Ave,
Deer Lodge, MT 59722-1829
Ph: (406) 846-1655 |
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