Pete Richar Johnson, in Blackfoot, ID - Medicare Physical Therapist Provider

Pete Richar Johnson, is a medicare enrolled "Physical Therapist" provider in Blackfoot, Idaho. His current practice location is 131 N Oak St, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 684-2444.

Pete Richar Johnson is licensed to practice in Idaho (license number 8747) 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 1184314866.

Contact Information

	Pete Richar Johnson,
	131 N Oak St, Blackfoot, ID 83221-1757
	(208) 684-2444
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Pete Richar Johnson
Gender	Male
Speciality	Physical Therapist
Location	131 N Oak St, Blackfoot, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184314866
Provider Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6103283262
Enrollment ID: I20230605001853

Medical Identifiers

Medical identifiers for Pete Richar Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184314866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8747 (Idaho)	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. Pete Richar Johnson allows following entities to bill medicare on his behalf.

Provider Name	Wright Physical Therapy Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730732025 PECOS PAC ID: 1759612641 Enrollment ID: O20191007003583

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. Pete Richar Johnson 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
Pete Richar Johnson, 131 N Oak St, Blackfoot, ID 83221-1757 Ph: (208) 684-2444	Pete Richar Johnson, 131 N Oak St, Blackfoot, ID 83221-1757 Ph: (208) 684-2444

Reviews and Comments

Physical Therapist in Blackfoot, ID

Tyce Alden Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 Fax: 208-782-1885
Bryan J. Gibby, MSPT, CWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1492 Christensen Dr, Blackfoot, ID 83221 Phone: 208-240-7221
Jessica Annelaine Vandyke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 W Bridge St, Blackfoot, ID 83221 Phone: 208-684-0021
Brian Don Boehme, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600
Mr. Dustin Cade Schmitt, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123
Jonathan Dac-moang Liem, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr Ste 1, Blackfoot, ID 83221 Phone: 208-785-3446 Fax: 208-980-7241

Pete Richar Johnson, - Medicare Physical Therapist in Blackfoot, ID