Peace River Physical Therapy & Rehabilitation, Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Port Charlotte, Florida. Their current practice location is
2200 Kings Hwy Unit 2f, Port Charlotte, Florida. You can reach out to their office (for appointments etc.) via phone at
(941) 888-4561.
Peace River Physical Therapy & Rehabilitation, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Peace River Physical Therapy & Rehabilitation, 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 1285104828.
Healthcare Provider's Profile
| Full Name | Peace River Physical Therapy & Rehabilitation, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2200 Kings Hwy Unit 2f, Port Charlotte, Florida |
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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: 1285104828
- Provider Enumeration Date: 11/27/2018
- Last Update Date: 07/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395084842
- Enrollment ID: O20190228001769
Medical Identifiers
Medical identifiers for Peace River Physical Therapy & Rehabilitation, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285104828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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.
Peace River Physical Therapy & Rehabilitation, Llc acts as a billing entity for following providers:
| Provider Name | Lance D Doeble |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1821248170
PECOS PAC ID: 1951463496
Enrollment ID: I20081217000665 |
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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. Peace River Physical Therapy & Rehabilitation, 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 |
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Peace River Physical Therapy & Rehabilitation, Llc
Po Box 510326,
Punta Gorda, FL 33951-0326
Ph: (941) 888-4561 | Peace River Physical Therapy & Rehabilitation, Llc
2200 Kings Hwy Unit 2f,
Port Charlotte, FL 33980-5760
Ph: (941) 888-4561 |
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