Montana Van Ho, DPT, DOM is a medicare enrolled "Physical Therapist" provider in Lake Mary, Florida. His current practice location is
245 Wheelhouse Ln Ste 1451, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 878-0507.
Montana Van Ho is licensed to practice in Florida (license number PT29612) 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 1053703165.
Healthcare Provider's Profile
| Full Name | Montana Van Ho |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 245 Wheelhouse Ln Ste 1451, Lake Mary, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053703165
- Provider Enumeration Date: 02/26/2015
- Last Update Date: 04/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204135056
- Enrollment ID: I20160428000962
Medical Identifiers
Medical identifiers for Montana Van Ho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053703165 | NPI | - | NPPES |
| AP3608 | Other | FL | STATE LICENSE |
| PT29612 | Other | FL | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AP3608 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT29612 (Florida) | 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. Montana Van Ho allows following entities to bill medicare on his behalf.
| Provider Name | Acupuncture And Physical Therapy Specialists Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1720155997
PECOS PAC ID: 1254389208
Enrollment ID: O20080519000266 |
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| Provider Name | Acuphysio360, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1295372662
PECOS PAC ID: 7012346109
Enrollment ID: O20200413001296 |
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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. Montana Van Ho 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 |
|---|
Montana Van Ho, DPT, DOM
245 Wheelhouse Ln Ste 1451,
Lake Mary, FL 32746-3696
Ph: (407) 878-0507 | Montana Van Ho, DPT, DOM
245 Wheelhouse Ln Ste 1451,
Lake Mary, FL 32746-3696
Ph: (407) 878-0507 |
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