Mr Gijsbert Jeroen Laport, RPT in Salem, OR - Medicare Physical Therapist Provider

Mr Gijsbert Jeroen Laport, RPT is a medicare enrolled "Physical Therapist" provider in Salem, Oregon. His current practice location is 4515 Sunnyside Rd Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 370-8284.

Mr Gijsbert Jeroen Laport is licensed to practice in Oregon (license number 2803) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194987107.

Contact Information

	Mr Gijsbert Jeroen Laport, RPT
	4515 Sunnyside Rd Se, Salem, OR 97302-3928
	(503) 370-8284
	(503) 566-8595

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gijsbert Jeroen Laport
Gender	Male
Speciality	Physical Therapist
Location	4515 Sunnyside Rd Se, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194987107
Provider Enumeration Date: 06/30/2008
Last Update Date: 06/30/2008

Medicare PECOS Information:

PECOS PAC ID: 8921483835
Enrollment ID: I20220913002903

Medical Identifiers

Medical identifiers for Mr Gijsbert Jeroen Laport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194987107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2803 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Gijsbert Jeroen Laport allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376272732 PECOS PAC ID: 6507832573 Enrollment ID: O20220801001861

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. Mr Gijsbert Jeroen Laport 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
Mr Gijsbert Jeroen Laport, RPT 4515 Sunnyside Rd Se, Salem, OR 97302-3928 Ph: (503) 370-8284	Mr Gijsbert Jeroen Laport, RPT 4515 Sunnyside Rd Se, Salem, OR 97302-3928 Ph: (503) 370-8284

Reviews and Comments

Physical Therapist in Salem, OR

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Mr Gijsbert Jeroen Laport, RPT - Medicare Physical Therapist in Salem, OR