James T Ahlstrom, PT, DPT is a medicare enrolled "Physical Therapist" provider in Hawthorne, Nevada. His current practice location is
200 S A St, Hawthorne, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 945-2461.
James T Ahlstrom is licensed to practice in Nevada (license number 3842) 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 1669956041.
Healthcare Provider's Profile
| Full Name | James T Ahlstrom |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 200 S A St, Hawthorne, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669956041
- Provider Enumeration Date: 09/20/2018
- Last Update Date: 10/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810326386
- Enrollment ID: I20200403001627
Medical Identifiers
Medical identifiers for James T Ahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669956041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 3842 (Nevada) | 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. James T Ahlstrom allows following entities to bill medicare on his behalf.
| Provider Name | Capability Health & Human Services |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306983044
PECOS PAC ID: 9739515511
Enrollment ID: O20200214002171 |
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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. James T Ahlstrom 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 |
|---|
James T Ahlstrom, PT, DPT
112 W 5th St, Box 1554,
Hawthorne, NV 89415-4256
Ph: (208) 244-8202 | James T Ahlstrom, PT, DPT
200 S A St,
Hawthorne, NV 89415
Ph: (775) 945-2461 |
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