Raustin Josef Grandy, in Cheyenne, WY - Medicare Physical Therapist Provider

Raustin Josef Grandy, is a medicare enrolled "Physical Therapist" provider in Cheyenne, Wyoming. His current practice location is 1951 Bluegrass Cir, Cheyenne, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 773-8533.

Raustin Josef Grandy is licensed to practice in Wyoming (license number PT-2227) 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 1649984097.

Contact Information

	Raustin Josef Grandy,
	1951 Bluegrass Cir, Cheyenne, WY 82009-7355
	(307) 773-8533
	(307) 635-7578

Map and Direction

Healthcare Provider's Profile

Full Name	Raustin Josef Grandy
Gender	Male
Speciality	Physical Therapist
Location	1951 Bluegrass Cir, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649984097
Provider Enumeration Date: 01/10/2023
Last Update Date: 01/10/2023

Medicare PECOS Information:

PECOS PAC ID: 2668845637
Enrollment ID: I20230222003206

Medical Identifiers

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

Identifier	Type	State	Issuer
1649984097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-2227 (Wyoming)	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. Raustin Josef Grandy allows following entities to bill medicare on his behalf.

Provider Name	Champlin Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922288646 PECOS PAC ID: 8022108380 Enrollment ID: O20071226000470

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. Raustin Josef Grandy 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
Raustin Josef Grandy, 1951 Bluegrass Cir, Cheyenne, WY 82009-7355 Ph: (307) 773-8533	Raustin Josef Grandy, 1951 Bluegrass Cir, Cheyenne, WY 82009-7355 Ph: (307) 773-8533

Reviews and Comments

Physical Therapist in Cheyenne, WY

Bluegrass Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009 Phone: 307-634-2626 Fax: 307-634-5099
Mrs. Linda Rc Froelicher, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4000 Central Ave, Suite #3, Cheyenne, WY 82001 Phone: 307-634-0298 Fax: 307-634-0837
Nicholas Robert Johnson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Converse Ave Ste B, Cheyenne, WY 82001 Phone: 307-514-2411 Fax: 307-514-2392
Byron Louis Long, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009 Phone: 307-634-2626 Fax: 307-634-5099
Mr. Thomas James Bledsoe, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4017 Rawlins St, Cheyenne, WY 82001 Phone: 307-635-2562
Sandra Champlin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1951 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-773-8533 Fax: 307-635-7578
Dr. Charlene Marie Sheamansmith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4515 E Pershing Blvd Unit C, Cheyenne, WY 82001 Phone: 307-635-2388 Fax: 307-635-1730

Raustin Josef Grandy, - Medicare Physical Therapist in Cheyenne, WY