Madison Orthopedic Rehab is a medicare enrolled "Clinic/center - Physical Therapy" provider in Madison, Indiana. Their current practice location is
2420 Wilson Ave, Madison, Indiana. You can reach out to their office (for appointments etc.) via phone at
(812) 265-8226.
Madison Orthopedic Rehab is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Madison Orthopedic Rehab
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 1063725687.
Healthcare Provider's Profile
| Full Name | Madison Orthopedic Rehab |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2420 Wilson Ave, Madison, Indiana |
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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: 1063725687
- Provider Enumeration Date: 07/24/2010
- Last Update Date: 06/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 3971796384
- Enrollment ID: O20150512002113
Medical Identifiers
Medical identifiers for Madison Orthopedic Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063725687 | NPI | - | NPPES |
| 300008207 | Medicaid | IN | |
| 200996250 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (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.
Madison Orthopedic Rehab acts as a billing entity for following providers:
| Provider Name | Jacqueline Marie Overpeck |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1629291877
PECOS PAC ID: 6204994171
Enrollment ID: I20101019001553 |
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| Provider Name | Nadine Sue Risman |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1801189436
PECOS PAC ID: 0840420949
Enrollment ID: I20140312000983 |
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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. Madison Orthopedic Rehab 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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Madison Orthopedic Rehab
2420 Wilson Ave,
Madison, IN 47250-2135
Ph: (812) 265-8226 | Madison Orthopedic Rehab
2420 Wilson Ave,
Madison, IN 47250
Ph: (812) 265-8226 |
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