Sand Canyon Therapy Llc is a medicare enrolled "Speech-language Pathologist" provider in Hemingford, Nebraska. Their current practice location is
720 Box Butte Ave, Hemingford, Nebraska. You can reach out to their office (for appointments etc.) via phone at
(308) 760-8431.
Sand Canyon Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sand Canyon 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 1134983794.
Healthcare Provider's Profile
Full Name | Sand Canyon Therapy Llc |
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Type | Facility |
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Speciality | Speech-language Pathologist |
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Location | 720 Box Butte Ave, Hemingford, 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: 1134983794
- Provider Enumeration Date: 02/13/2024
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143667584
- Enrollment ID: O20240321001543
Medical Identifiers
Medical identifiers for Sand Canyon Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134983794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (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.
Sand Canyon Therapy Llc acts as a billing entity for following providers:
Provider Name | Jenilee Woltman |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
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Provider Identifiers | NPI Number: 1427729813 PECOS PAC ID: 6204224041 Enrollment ID: I20211027000879 |
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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. Sand Canyon 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 |
Sand Canyon Therapy Llc Po Box 794, Hemingford, NE 69348-0794 Ph: (308) 760-8431 | Sand Canyon Therapy Llc 720 Box Butte Ave, Hemingford, NE 69348-9706 Ph: (308) 760-8431 |
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