Traverse Movement & Performance Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Ketchikan, Alaska. Their current practice location is
1621 Tongass Ave Ste 207, Ketchikan, Alaska. You can reach out to their office (for appointments etc.) via phone at
(907) 921-1330.
Traverse Movement & Performance Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Traverse Movement & Performance Llc
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 1710667951.
Healthcare Provider's Profile
| Full Name | Traverse Movement & Performance Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1621 Tongass Ave Ste 207, Ketchikan, 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: 1710667951
- Provider Enumeration Date: 07/21/2023
- Last Update Date: 07/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163876780
- Enrollment ID: O20230929001175
Medical Identifiers
Medical identifiers for Traverse Movement & Performance Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710667951 | 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.
Traverse Movement & Performance Llc acts as a billing entity for following providers:
| Provider Name | Elysse Cillay |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1649762972
PECOS PAC ID: 3971840877
Enrollment ID: I20190131000469 |
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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. Traverse Movement & Performance Llc 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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Traverse Movement & Performance Llc
Po Box 816,
Ward Cove, AK 99928-0816
Ph: (907) 921-1330 | Traverse Movement & Performance Llc
1621 Tongass Ave Ste 207,
Ketchikan, AK 99901-6072
Ph: (907) 921-1330 |
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