Jonathan Dac-moang Liem, DPT in Blackfoot, ID - Medicare Physical Therapist Provider

Jonathan Dac-moang Liem, DPT is a medicare enrolled "Physical Therapist" provider in Blackfoot, Idaho. His current practice location is 1441 Parkway Dr Ste 1, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-3446.

Jonathan Dac-moang Liem is licensed to practice in Idaho (license number PT-8771) 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 1235903279.

Contact Information

	Jonathan Dac-moang Liem, DPT
	1441 Parkway Dr Ste 1, Blackfoot, ID 83221-1667
	(208) 785-3446
	(208) 980-7241

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Dac-moang Liem
Gender	Male
Speciality	Physical Therapist
Location	1441 Parkway Dr Ste 1, Blackfoot, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235903279
Provider Enumeration Date: 11/09/2023
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 5193176758
Enrollment ID: I20240108004608

Medical Identifiers

Medical identifiers for Jonathan Dac-moang Liem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235903279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-8771 (Idaho)	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. Jonathan Dac-moang Liem allows following entities to bill medicare on his behalf.

Provider Name	Rocky Mountain Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538172648 PECOS PAC ID: 0345213278 Enrollment ID: O20040818000288

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. Jonathan Dac-moang Liem 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
Jonathan Dac-moang Liem, DPT 1441 Parkway Dr Ste 1, Blackfoot, ID 83221-1667 Ph: (208) 785-3446	Jonathan Dac-moang Liem, DPT 1441 Parkway Dr Ste 1, Blackfoot, ID 83221-1667 Ph: (208) 785-3446

Reviews and Comments

Physical Therapist in Blackfoot, ID

Tyce Alden Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 Fax: 208-782-1885
Bryan J. Gibby, MSPT, CWS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1492 Christensen Dr, Blackfoot, ID 83221 Phone: 208-240-7221
Jessica Annelaine Vandyke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 W Bridge St, Blackfoot, ID 83221 Phone: 208-684-0021
Brian Don Boehme, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600
Pete Richar Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 131 N Oak St, Blackfoot, ID 83221 Phone: 208-684-2444
Mr. Dustin Cade Schmitt, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123

Jonathan Dac-moang Liem, DPT - Medicare Physical Therapist in Blackfoot, ID