Poplar Bluff Rehabilitation is a medicare enrolled "Clinic/center - Physical Therapy" provider in Poplar Bluff, Missouri. Their current practice location is
3999 Hwy Pp, Suite 2, Poplar Bluff, Missouri. You can reach out to their office (for appointments etc.) via phone at
(573) 712-2280.
Poplar Bluff Rehabilitation is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Poplar Bluff Rehabilitation
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 1588848618.
Healthcare Provider's Profile
| Full Name | Poplar Bluff Rehabilitation |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 3999 Hwy Pp, Poplar Bluff, Missouri |
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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: 1588848618
- Provider Enumeration Date: 12/26/2007
- Last Update Date: 07/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 6103903216
- Enrollment ID: O20080414000166
Medical Identifiers
Medical identifiers for Poplar Bluff Rehabilitation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588848618 | 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.
Poplar Bluff Rehabilitation acts as a billing entity for following providers:
| Provider Name | Ryan R Pretz |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1962465658
PECOS PAC ID: 4880668243
Enrollment ID: I20040823000007 |
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| Provider Name | Antonio Grefal Mauricio |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1992279830
PECOS PAC ID: 3072852185
Enrollment ID: I20190307002600 |
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| Provider Name | Christopher Lincoln Morse |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1326499351
PECOS PAC ID: 0547686966
Enrollment ID: I20200817001626 |
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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. Poplar Bluff Rehabilitation 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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Poplar Bluff Rehabilitation
Po Box 3,
Poplar Bluff, MO 63902-0003
Ph: (573) 712-2280 | Poplar Bluff Rehabilitation
3999 Hwy Pp, Suite 2,
Poplar Bluff, MO 63901
Ph: (573) 712-2280 |
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