Richard Bom, PT in Eden Prairie, MN - Medicare Physical Therapist Provider

Richard Bom, PT is a medicare enrolled "Physical Therapist" provider in Eden Prairie, Minnesota. His current practice location is 775 Prairie Center Dr, #250, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 944-5314.

Richard Bom is licensed to practice in Minnesota (license number 2704) 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 1689789554.

Contact Information

	Richard Bom, PT
	775 Prairie Center Dr, #250, Eden Prairie, MN 55344-7314
	(952) 944-5314
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Richard Bom
Gender	Male
Speciality	Physical Therapist
Location	775 Prairie Center Dr, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689789554
Provider Enumeration Date: 08/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2264448661
Enrollment ID: I20060222000368

Medical Identifiers

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

Identifier	Type	State	Issuer
1689789554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2704 (Minnesota)	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. Richard Bom allows following entities to bill medicare on his behalf.

Provider Name	Fairview Health Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Richard Bom 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
Richard Bom, PT 19540 Vine Ridge Rd, Excelsior, MN 55331-9118 Ph: () -	Richard Bom, PT 775 Prairie Center Dr, #250, Eden Prairie, MN 55344-7314 Ph: (952) 944-5314

Reviews and Comments

Physical Therapist in Eden Prairie, MN

Riley Bren, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901
Hannah Mae Stefani, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6485 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-933-1150 Fax: 952-930-3304
Kaitlin Vaith, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901
John A Corbo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 775 Prairie Center Dr, 250, Eden Prairie, MN 55344 Phone: 952-944-5314
Daniel Himmerick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314 Fax: 952-944-0092
Christopher Hart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314
Nathaniel L Peterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12982 Valley View Rd, Eden Prairie, MN 55344 Phone: 952-944-2519 Fax: 952-944-0092

Richard Bom, PT - Medicare Physical Therapist in Eden Prairie, MN