Mr Brent Boardman, PT in Carson City, NV - Medicare Physical Therapist Provider

Mr Brent Boardman, PT is a medicare enrolled "Physical Therapist" provider in Carson City, Nevada. His current practice location is 1365 Medical Pkwy, Carson City, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 786-3040.

Mr Brent Boardman is licensed to practice in Nevada (license number 5177) 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 1871535807.

Contact Information

	Mr Brent Boardman, PT
	1365 Medical Pkwy, Carson City, NV 89703-4653
	(775) 786-3040
	(775) 788-5254

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brent Boardman
Gender	Male
Speciality	Physical Therapist
Location	1365 Medical Pkwy, Carson City, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871535807
Provider Enumeration Date: 06/12/2006
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3476540287
Enrollment ID: I20040426001019

Medical Identifiers

Medical identifiers for Mr Brent Boardman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871535807	NPI	-	NPPES
11488871	Other		CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5177 (Nevada)	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. Mr Brent Boardman allows following entities to bill medicare on his behalf.

Provider Name	Lincoln Outpatient Therapy Services
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1407825060 PECOS PAC ID: 9436121159 Enrollment ID: O20110311000685

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. Mr Brent Boardman 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
Mr Brent Boardman, PT 555 N Arlington Ave, Reno, NV 89503-4723 Ph: (775) 786-3040	Mr Brent Boardman, PT 1365 Medical Pkwy, Carson City, NV 89703-4653 Ph: (775) 786-3040

Reviews and Comments

Physical Therapist in Carson City, NV

Ms. Corinne Marie Holmes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 680 W Nye Ln Ste 205, Carson City, NV 89703 Phone: 775-882-2211 Fax: 775-882-2212
Gisel David, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1749 N Stewart St Ste 50, Carson City, NV 89706 Phone: 775-348-8800 Fax: 833-687-1419
High Desert Therapists, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2874 N Carson St, Suite 100, Carson City, NV 89706 Phone: 775-883-4161
Sports Therapy And Rehabilitation Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 303 Fleischmann Wy, Carson City, NV 89703 Phone: 775-885-7827 Fax: 775-885-2301
Stacy L Carman, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 931 Mica Dr Ste 1, Carson City, NV 89705 Phone: 775-267-3396 Fax: 775-267-3398
Deborah A. Beaty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Sarah Dr, Carson City, NV 89706 Phone: 775-247-8231
Mr. Taylor Daniel Blattenberger, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1749 N Stewart St Ste 50, Carson City, NV 89706 Phone: 775-392-3689 Fax: 775-783-6191

Mr Brent Boardman, PT - Medicare Physical Therapist in Carson City, NV