Seawolf Physical Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Anchorage, Alaska. Their current practice location is
12201 Industry Way Ste 4, Anchorage, Alaska. You can reach out to their office (for appointments etc.) via phone at
(907) 677-9653.
Seawolf Physical Therapy is licensed to practice in Hawaii (license number 2030) and it also participates in the medicare program. Seawolf Physical Therapy
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 1700074382.
Healthcare Provider's Profile
| Full Name | Seawolf Physical Therapy |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 12201 Industry Way Ste 4, Anchorage, Alaska |
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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: 1700074382
- Provider Enumeration Date: 10/09/2007
- Last Update Date: 08/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426145699
- Enrollment ID: O20180706000515
Medical Identifiers
Medical identifiers for Seawolf Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700074382 | NPI | - | NPPES |
| 1694215 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 2030 (Hawaii) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Seawolf Physical Therapy acts as a billing entity for following providers:
| Provider Name | Korre L Pieper |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1427100122
PECOS PAC ID: 1456344985
Enrollment ID: I20130821000080 |
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| Provider Name | Taylor Ravoyd Liles |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1699364877
PECOS PAC ID: 6204225477
Enrollment ID: I20211109001213 |
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| Provider Name | Ruby Anna R Bulaoat |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1538618111
PECOS PAC ID: 1759661846
Enrollment ID: I20230221000709 |
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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. Seawolf Physical Therapy 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 |
|---|
Seawolf Physical Therapy
12201 Industry Way Ste 4,
Anchorage, AK 99515-4316
Ph: (907) 677-9653 | Seawolf Physical Therapy
12201 Industry Way Ste 4,
Anchorage, AK 99515-4316
Ph: (907) 677-9653 |
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