Jacob Adam Lopez, in Boise, ID - Medicare Physical Therapist Provider

Jacob Adam Lopez, is a medicare enrolled "Physical Therapist" provider in Boise, Idaho. His current practice location is 960 S Broadway Ave Ste 200, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 433-9211.

Jacob Adam Lopez is licensed to practice in * (Not Available) (license number ) 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 1386349645.

Contact Information

	Jacob Adam Lopez,
	960 S Broadway Ave Ste 200, Boise, ID 83706-3667
	(208) 433-9211
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Adam Lopez
Gender	Male
Speciality	Physical Therapist
Location	960 S Broadway Ave Ste 200, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386349645
Provider Enumeration Date: 04/04/2023
Last Update Date: 04/04/2023

Medicare PECOS Information:

PECOS PAC ID: 7618335266
Enrollment ID: I20230614002127

Medical Identifiers

Medical identifiers for Jacob Adam Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386349645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Adam Lopez allows following entities to bill medicare on his behalf.

Provider Name	Therapeutic Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487630240 PECOS PAC ID: 0042116279 Enrollment ID: O20040515000415

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. Jacob Adam Lopez 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
Jacob Adam Lopez, 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: () -	Jacob Adam Lopez, 960 S Broadway Ave Ste 200, Boise, ID 83706-3667 Ph: (208) 433-9211

Reviews and Comments

Physical Therapist in Boise, ID

Mrs. Dianne Denise Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Allumbaugh St, Boise, ID 83704 Phone: 208-854-8517
Peter H Kolb, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-3315 Fax: 208-367-2674
Melissa Pirtle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Suite 130, Boise, ID 83702 Phone: 208-706-7530 Fax: 208-706-7531
Kyle Aaron Holbrook, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Boise, ID 83702 Phone: 208-489-4444
Rebecca Wensel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2138
Bridget Gilbertson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd Ste 130, Boise, ID 83702 Phone: 208-706-7530
Idaho Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Ste 101, Boise, ID 83706 Phone: 208-367-1010

Jacob Adam Lopez, - Medicare Physical Therapist in Boise, ID