Lakeside Physical Therapy & Fitness Center is a medicare enrolled "Physical Therapist" provider in Tamworth, New Hampshire. Their current practice location is
685 White Mountain Hwy, Tamworth, New Hampshire. You can reach out to their office (for appointments etc.) via phone at
(603) 323-2089.
Lakeside Physical Therapy & Fitness Center is licensed to practice in New Hampshire (license number 1953) and it also participates in the medicare program. Lakeside Physical Therapy & Fitness Center
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 1386957843.
Healthcare Provider's Profile
Full Name | Lakeside Physical Therapy & Fitness Center |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 685 White Mountain Hwy, Tamworth, New Hampshire |
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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: 1386957843
- Provider Enumeration Date: 07/26/2010
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385769710
- Enrollment ID: O20100908001100
Medical Identifiers
Medical identifiers for Lakeside Physical Therapy & Fitness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386957843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1953 (New Hampshire) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lakeside Physical Therapy & Fitness Center acts as a billing entity for following providers:
Provider Name | Jack T Hadam |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1063594950 PECOS PAC ID: 7517972359 Enrollment ID: I20060215000150 |
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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. Lakeside Physical Therapy & Fitness Center 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 |
Lakeside Physical Therapy & Fitness Center 685 White Mountain Hwy, Tamworth, NH 03886-4638 Ph: (603) 323-2089 | Lakeside Physical Therapy & Fitness Center 685 White Mountain Hwy, Tamworth, NH 03886-4638 Ph: (603) 323-2089 |
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