Julie Anne Bouck, PT, DPT in Flagstaff, AZ - Medicare Physical Therapist Provider

Julie Anne Bouck, PT, DPT is a medicare enrolled "Physical Therapist" provider in Flagstaff, Arizona. Her current practice location is 2915 North 4th Street, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 779-1679.

Julie Anne Bouck is licensed to practice in Arizona (license number 30906) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801905831.

Contact Information

	Julie Anne Bouck, PT, DPT
	2915 North 4th Street, Flagstaff, AZ 86004
	(928) 779-1679
	(928) 779-2822

Map and Direction

Healthcare Provider's Profile

Full Name	Julie Anne Bouck
Gender	Female
Speciality	Physical Therapist
Location	2915 North 4th Street, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801905831
Provider Enumeration Date: 08/30/2006
Last Update Date: 07/02/2020

Medicare PECOS Information:

PECOS PAC ID: 2466887005
Enrollment ID: I20200108002965

Medical Identifiers

Medical identifiers for Julie Anne Bouck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801905831	NPI	-	NPPES
607102	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	348046-2401 (Utah)	Secondary
225100000X	Physical Therapist	30906 (Arizona)	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. Julie Anne Bouck allows following entities to bill medicare on her behalf.

Provider Name	Northland-rural Therapy Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376677914 PECOS PAC ID: 5193983526 Enrollment ID: O20120214000939

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. Julie Anne Bouck 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
Julie Anne Bouck, PT, DPT 2915 North 4th Street, Flagstaff, AZ 86004 Ph: (928) 779-1679	Julie Anne Bouck, PT, DPT 2915 North 4th Street, Flagstaff, AZ 86004 Ph: (928) 779-1679

Reviews and Comments

Physical Therapist in Flagstaff, AZ

Tarang Kumar Jain, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Pine Knoll Dr Bldg 66, Flagstaff, AZ 86011 Phone: 928-523-7305
Michelle Rumpel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1840 N Jasper Dr Ste 3, Flagstaff, AZ 86001 Phone: 866-974-2673 Fax: 866-939-2673
Northern Arizona Healthcare Medical Group Entire Care Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7810 N Us Highway 89 Ste 270&280, Flagstaff, AZ 86004 Phone: 928-522-8375
Nicholas Woods, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1485 N Turquoise Dr Ste 220, Flagstaff, AZ 86001 Phone: 928-774-6626
Ashley Lauren Ziegler, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 Phone: 928-440-2350
Dr. Jason Christopher Dorsch, P.T., A.T.C. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1510 S Riordan Ranch St, Flagstaff, AZ 86001 Phone: 928-214-7303 Fax: 928-214-0696
Daniel Paredes Ozuna, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 399 S Malpais Ln Ste 103, Flagstaff, AZ 86001 Phone: 928-235-5506

Julie Anne Bouck, PT, DPT - Medicare Physical Therapist in Flagstaff, AZ