Max Rehab & Sport Llc is a medicare enrolled "Physical Therapist" provider in Clute, Texas. Their current practice location is
208 Dixie Dr, Clute, Texas. You can reach out to their office (for appointments etc.) via phone at
(979) 265-2755.
Max Rehab & Sport Llc is licensed to practice in Texas (license number 115822) and it also participates in the medicare program. Max Rehab & Sport 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 1043719164.
Healthcare Provider's Profile
| Full Name | Max Rehab & Sport Llc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 208 Dixie Dr, Clute, Texas |
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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: 1043719164
- Provider Enumeration Date: 02/04/2018
- Last Update Date: 02/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 4587911565
- Enrollment ID: O20180723000764
Medical Identifiers
Medical identifiers for Max Rehab & Sport Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043719164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 115822 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Max Rehab & Sport Llc acts as a billing entity for following providers:
| Provider Name | Lauren E Bowles |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1871092999
PECOS PAC ID: 5496668295
Enrollment ID: I20031107000480 |
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| Provider Name | Lisa Michelle Brunner |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1861118143
PECOS PAC ID: 0547629933
Enrollment ID: I20230703001194 |
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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. Max Rehab & Sport 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 |
|---|
Max Rehab & Sport Llc
208 Dixie Dr,
Clute, TX 77531-5122
Ph: (979) 265-2755 | Max Rehab & Sport Llc
208 Dixie Dr,
Clute, TX 77531-5122
Ph: (979) 265-2755 |
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