Northern Pediatric Therapy Pllc is a medicare enrolled "Speech-language Pathologist" provider in Lake Ann, Michigan. Their current practice location is
19080 Ridge View Ln, Lake Ann, Michigan. You can reach out to their office (for appointments etc.) via phone at
(616) 706-2916.
Northern Pediatric Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northern Pediatric 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 1053178079.
Healthcare Provider's Profile
Full Name | Northern Pediatric Therapy Pllc |
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Type | Facility |
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Speciality | Speech-language Pathologist |
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Location | 19080 Ridge View Ln, Lake Ann, Michigan |
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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: 1053178079
- Provider Enumeration Date: 03/05/2024
- Last Update Date: 03/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153760533
- Enrollment ID: O20240418000380
Medical Identifiers
Medical identifiers for Northern Pediatric Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053178079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | (* (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.
Northern Pediatric Therapy Pllc acts as a billing entity for following providers:
Provider Name | Megan Anne Downer |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
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Provider Identifiers | NPI Number: 1043622665 PECOS PAC ID: 5799124178 Enrollment ID: I20240418000447 |
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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. Northern Pediatric 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 |
Northern Pediatric Therapy Pllc Po Box 5817, Traverse City, MI 49696-5817 Ph: () - | Northern Pediatric Therapy Pllc 19080 Ridge View Ln, Lake Ann, MI 49650-9411 Ph: (616) 706-2916 |
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