<unavail> in Grain Valley, MO - Medicare Physical Therapist Provider

is a medicare enrolled "Physical Therapist" provider in Grain Valley, Missouri. Their current practice location is 1207 Nw Pamela Blvd, Grain Valley, Missouri. You can reach out to their office (for appointments etc.) via phone at (660) 646-9043.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1629835780.

Contact Information


	1207 Nw Pamela Blvd, Grain Valley, MO 64029-7844
	(660) 646-9043
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Physical Therapist
Location	1207 Nw Pamela Blvd, Grain Valley, Missouri
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629835780
Provider Enumeration Date: 03/04/2024
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0244761666
Enrollment ID: O20241009000721

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629835780	NPI	-	NPPES

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. acts as a billing entity for following providers:

Provider Name	Thomas Hargrave
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1467973412 PECOS PAC ID: 5395019095 Enrollment ID: I20170919002660

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. 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
1207 Nw Pamela Blvd, Grain Valley, MO 64029-7844 Ph: (660) 646-9043	1207 Nw Pamela Blvd, Grain Valley, MO 64029-7844 Ph: (660) 646-9043

Reviews and Comments

Physical Therapist in Grain Valley, MO

Stacee Newsom, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Nw Jefferson St, Grain Valley, MO 64029 Phone: 816-726-7337 Fax: 816-847-0218
Troy H Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 638 Nw Jefferson St, Grain Valley, MO 64029 Phone: 816-836-0800 Fax: 816-836-3229
Alexa Gabrielle Hernandez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029 Phone: 816-265-1170
Claire Sybesma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029 Phone: 816-265-1170
Kayla Kocimski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029 Phone: 816-265-1170
Caitlin Robinson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Nw Jefferson St, Grain Valley, MO 64029 Phone: 816-726-7337
Wyatt Robert Sander, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1460 Nw Olympic Dr Ste J, Grain Valley, MO 64029 Phone: 816-867-0066

- Medicare Physical Therapist in Grain Valley, MO