Autumn Grove, in Hayden, ID - Medicare Physical Therapist In Private Practice Provider

Autumn Grove, is a medicare enrolled "Physical Therapist" provider in Hayden, Idaho. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Lake City Physical Therapy P A and her current practice location is 8238 N Government Way, Hayden, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 762-2100.

Autumn Grove is licensed to practice in Idaho (license number PT-5390) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033596747.

Contact Information

	Autumn Grove,
	8238 N Government Way, Hayden, ID 83835-5034
	(208) 762-2100
	(208) 762-2101

Map and Direction

Healthcare Provider's Profile

Full Name	Autumn Grove
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	14 Years
Location	8238 N Government Way, Hayden, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Autumn Grove graduated from medical school in 2012

NPI Data:

NPI Number: 1033596747
Provider Enumeration Date: 05/01/2015
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9032569033
Enrollment ID: I20240102003960

Medical Identifiers

Medical identifiers for Autumn Grove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033596747	NPI	-	NPPES
PT-5390	Other	ID	IDAHO STATE PHYSICAL THERAPY LICENSE
PTL. 0013479	Other	CO	COLORADO STATE PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PTL. 0013479 (Colorado)	Secondary
225100000X	Physical Therapist	PT-5390 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake City Physical Therapy P A	3678465234	15

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. Autumn Grove allows following entities to bill medicare on her behalf.

Provider Name	Lake City Physical Therapy P A
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952521411 PECOS PAC ID: 3678465234 Enrollment ID: O20040503001343

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. Autumn Grove 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
Autumn Grove, 8238 N Government Way, Hayden, ID 83835-5034 Ph: (208) 762-2100	Autumn Grove, 8238 N Government Way, Hayden, ID 83835-5034 Ph: (208) 762-2100

Reviews and Comments

Physical Therapist in Hayden, ID

Laura Handyside Steininger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8382 N Wayne Dr Ste 204, Hayden, ID 83835 Phone: 208-719-9071 Fax: 208-719-9073
Erica Lea Chvilicek, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8257 N Cornerstone Dr, Hayden, ID 83835 Phone: 208-762-0881
Jeremy Albert Dye, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-773-8111 Fax: 208-773-8385
Teri Ann Venera, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8382 N Wayne Dr, Hayden, ID 83835 Phone: 208-758-0484 Fax: 208-485-4781
Karen L Lee, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8300 N Wayne Dr, Hayden, ID 83835 Phone: 208-772-9774 Fax: 208-772-9564
Adam Michael Borg, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1172 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-3332 Fax: 208-762-4268

Autumn Grove, - Medicare Physical Therapist in Hayden, ID