Healthcare Provider's Profile
Full Name | |
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Type | Facility |
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Speciality | Durable Medical Equipment & Medical Supplies |
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Location | 103 E 3rd St Ste 200, Arlington, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144680372
- Provider Enumeration Date: 03/01/2016
- Last Update Date: 11/30/2022
Medical Identifiers
Medical identifiers for
such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144680372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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 NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (813) 560-8157 | 103 E 3rd St Ste 200, Arlington, WA 98223-1348 Ph: (360) 363-4246 |
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