Lake Whitney Physical Therapy Pc is a medicare enrolled "Physical Therapist" provider in Whitney, Texas. Their current practice location is
204 East Jefferson, Whitney, Texas. You can reach out to their office (for appointments etc.) via phone at
(254) 694-6831.
Lake Whitney Physical Therapy Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lake Whitney Physical Therapy Pc
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 1588703557.
Healthcare Provider's Profile
Full Name | Lake Whitney Physical Therapy Pc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 204 East Jefferson, Whitney, Texas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588703557
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 07/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 3274720206
- Enrollment ID: O20101203000015
Medical Identifiers
Medical identifiers for Lake Whitney Physical Therapy Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588703557 | NPI | - | NPPES |
161075001 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (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.
Lake Whitney Physical Therapy Pc acts as a billing entity for following providers:
Provider Name | Todd J Wagner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1841339132 PECOS PAC ID: 7719174747 Enrollment ID: I20101210000752 |
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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. Lake Whitney Physical Therapy Pc 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 Whitney Physical Therapy Pc Po Box 68, Whitney, TX 76692-0068 Ph: (254) 694-6831 | Lake Whitney Physical Therapy Pc 204 East Jefferson, Whitney, TX 76692 Ph: (254) 694-6831 |
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