Western Trails Physical Therapy, Llc is a medicare enrolled "Physical Therapist" provider in Mitchell, Nebraska. Their current practice location is
1463 19th Ave, Suite B, Mitchell, Nebraska. You can reach out to their office (for appointments etc.) via phone at
(308) 623-1313.
Western Trails Physical Therapy, Llc is licensed to practice in Nebraska (license number 2684) and it also participates in the medicare program. Western Trails Physical Therapy, 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 1700175619.
Healthcare Provider's Profile
Full Name | Western Trails Physical Therapy, Llc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 1463 19th Ave, Mitchell, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700175619
- Provider Enumeration Date: 03/31/2011
- Last Update Date: 03/31/2011
Medicare PECOS Information:
- PECOS PAC ID: 2062683568
- Enrollment ID: O20130711000296
Medical Identifiers
Medical identifiers for Western Trails Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700175619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2684 (Nebraska) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Western Trails Physical Therapy, Llc acts as a billing entity for following providers:
Provider Name | John W Bowlin |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1063719144 PECOS PAC ID: 1951572452 Enrollment ID: I20110913000693 |
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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. Western Trails Physical Therapy, 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 |
Western Trails Physical Therapy, Llc 1463 19th Ave, Suite B, Mitchell, NE 69357-1455 Ph: (308) 623-1313 | Western Trails Physical Therapy, Llc 1463 19th Ave, Suite B, Mitchell, NE 69357-1455 Ph: (308) 623-1313 |
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