Jacob Boese, in Longmont, CO - Medicare Physical Therapist Provider

Jacob Boese, is a medicare enrolled "Physical Therapist" provider in Longmont, Colorado. His current practice location is 1551 Professional Ln Unit 145, Longmont, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 494-3290.

Jacob Boese is licensed to practice in Colorado (license number CP0369TT1) 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 1942898028.

Contact Information

	Jacob Boese,
	1551 Professional Ln Unit 145, Longmont, CO 80501-6968
	(720) 494-3290
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Boese
Gender	Male
Speciality	Physical Therapist
Location	1551 Professional Ln Unit 145, Longmont, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942898028
Provider Enumeration Date: 01/05/2021
Last Update Date: 12/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1759828981
Enrollment ID: I20240805003657

Medical Identifiers

Medical identifiers for Jacob Boese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942898028	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP032830T (Washington)	Secondary
225100000X	Physical Therapist	CP0369TT1 (Colorado)	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. Jacob Boese allows following entities to bill medicare on his behalf.

Provider Name	Olympia Orthopaedic Associates Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083785398 PECOS PAC ID: 2365337508 Enrollment ID: O20040217001032

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. Jacob Boese 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
Jacob Boese, 615 Lilly Rd Ne Ste 240, Olympia, WA 98506-5117 Ph: (360) 413-3850	Jacob Boese, 1551 Professional Ln Unit 145, Longmont, CO 80501-6968 Ph: (720) 494-3290

Reviews and Comments

Physical Therapist in Longmont, CO

Healther Lynn Stokes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Professional Ln, #145, Longmont, CO 80501 Phone: 720-494-3290 Fax: 720-494-3294
Crafted Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Delaware Ave Unit E, Longmont, CO 80501 Phone: 720-204-4567
Kathleen Marie Stupansky, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Professional Ln, #145, Longmont, CO 80501 Phone: 720-494-3290 Fax: 720-494-3294
Stephanie Marie Lyle Maxwell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 395 S Pratt Pkwy, Longmont, CO 80501 Phone: 303-776-6200
Mr. Jason Donald Main, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 720-494-4750 Fax: 720-494-4751
Sarah Elisabeth Troicky, PT,DPT,ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1380 Tulip St, Longmont, CO 80501 Phone: 303-485-4163 Fax: 303-485-4164
Jonathan Walter Kupiec, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Delaware Ave Unit E, Longmont, CO 80501 Phone: 720-204-4567

Jacob Boese, - Medicare Physical Therapist in Longmont, CO