Baker Mobile Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Kimberly, Idaho. Their current practice location is
3463 E 3890 N, Kimberly, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 644-0693.
Baker Mobile Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Baker Mobile Therapy
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 1235743436.
Healthcare Provider's Profile
| Full Name | Baker Mobile Therapy |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 3463 E 3890 N, Kimberly, Idaho |
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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: 1235743436
- Provider Enumeration Date: 09/04/2020
- Last Update Date: 11/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739590845
- Enrollment ID: O20201120002235
Medical Identifiers
Medical identifiers for Baker Mobile Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235743436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251C2600X | Physical Therapist - Cardiopulmonary | (* (Not Available)) | Secondary |
| 2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Secondary |
| 2251N0400X | Physical Therapist - Neurology | (* (Not Available)) | Secondary |
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (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.
Baker Mobile Therapy acts as a billing entity for following providers:
| Provider Name | Trevor John Baker |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1912496753
PECOS PAC ID: 0648681759
Enrollment ID: I20201125001637 |
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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. Baker Mobile Therapy 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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Baker Mobile Therapy
3463 E 3890 N,
Kimberly, ID 83341-5508
Ph: (208) 644-0693 | Baker Mobile Therapy
3463 E 3890 N,
Kimberly, ID 83341-5508
Ph: (208) 644-0693 |
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