Lake Area Physical Therapy Crescent City, Inc is a medicare enrolled "Physical Therapist" provider in Crescent City, Florida. Their current practice location is
101 Eucalyptus Ave, Crescent City, Florida. You can reach out to their office (for appointments etc.) via phone at
(352) 475-3113.
Lake Area Physical Therapy Crescent City, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lake Area Physical Therapy Crescent City, Inc
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 1871108910.
Healthcare Provider's Profile
| Full Name | Lake Area Physical Therapy Crescent City, Inc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 101 Eucalyptus Ave, Crescent City, Florida |
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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: 1871108910
- Provider Enumeration Date: 09/15/2020
- Last Update Date: 09/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 5193135309
- Enrollment ID: O20201029000260
Medical Identifiers
Medical identifiers for Lake Area Physical Therapy Crescent City, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871108910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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. Lake Area Physical Therapy Crescent City, Inc 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 |
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Lake Area Physical Therapy Crescent City, Inc
Po Box 1099,
Melrose, FL 32666-1099
Ph: (352) 475-3113 | Lake Area Physical Therapy Crescent City, Inc
101 Eucalyptus Ave,
Crescent City, FL 32112-2407
Ph: (352) 475-3113 |
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