Lake Champlain Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in Crown Point, New York. Their current practice location is
2786 Main St, Crown Point, New York. You can reach out to their office (for appointments etc.) via phone at
(518) 597-3384.
Lake Champlain Physical Therapy Pllc is licensed to practice in New York (license number 030350-1) and it also participates in the medicare program. Lake Champlain Physical Therapy Pllc
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 1841683869.
Healthcare Provider's Profile
Full Name | Lake Champlain Physical Therapy Pllc |
---|
Type | Facility |
---|
Speciality | Physical Therapist |
---|
Location | 2786 Main St, Crown Point, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841683869
- Provider Enumeration Date: 03/16/2015
- Last Update Date: 03/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 2062732605
- Enrollment ID: O20150521000620
Medical Identifiers
Medical identifiers for Lake Champlain Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841683869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 030350-1 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lake Champlain Physical Therapy Pllc acts as a billing entity for following providers:
Provider Name | Leonardo Lopes Gomes |
---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
---|
Provider Identifiers | NPI Number: 1609037084 PECOS PAC ID: 6305166943 Enrollment ID: I20150521000710 |
---|
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 Champlain Physical Therapy Pllc 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 |
Lake Champlain Physical Therapy Pllc 2786main Street, Crown Point, NY 12928 Ph: (518) 597-4678 | Lake Champlain Physical Therapy Pllc 2786 Main St, Crown Point, NY 12928 Ph: (518) 597-3384 |
Reviews and Comments