Key Performance And Wellness Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Pocatello, Idaho. Their current practice location is
202 S 5th Ave, Pocatello, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 251-5997.
Key Performance And Wellness Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Key Performance And Wellness 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 1962121368.
Healthcare Provider's Profile
| Full Name | Key Performance And Wellness Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 202 S 5th Ave, Pocatello, Idaho |
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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: 1962121368
- Provider Enumeration Date: 08/26/2022
- Last Update Date: 08/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193192078
- Enrollment ID: O20221107000139
Medical Identifiers
Medical identifiers for Key Performance And Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962121368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Key Performance And Wellness Llc acts as a billing entity for following providers:
| Provider Name | William Berkeley Cleary |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1811636319
PECOS PAC ID: 1052792900
Enrollment ID: I20220722002790 |
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| Provider Name | Daniel Mcaleese |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1801235460
PECOS PAC ID: 3779727813
Enrollment ID: I20221107000164 |
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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. Key Performance And Wellness 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 |
|---|
Key Performance And Wellness Llc
202 S 5th Ave,
Pocatello, ID 83201-4980
Ph: (208) 251-5997 | Key Performance And Wellness Llc
202 S 5th Ave,
Pocatello, ID 83201-4980
Ph: (208) 251-5997 |
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