Michael Craig Mahan, PT, DPT is a medicare enrolled "Physical Therapist" physician in Boulder, Colorado. His current practice location is
3000 Center Green Dr Ste 300, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 413-9903.
Michael Craig Mahan is licensed to practice in Colorado (license number PTL.0018839) 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 1063921476.
Physician's Profile
| Full Name | Michael Craig Mahan |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 3000 Center Green Dr Ste 300, Boulder, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063921476
- Provider Enumeration Date: 09/28/2017
- Last Update Date: 01/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527325323
- Enrollment ID: I20200519001083
Medical Identifiers
Medical identifiers for Michael Craig Mahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063921476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 2305211550 (Virginia) | Secondary |
| 225100000X | Physical Therapist | (Oregon) | Secondary |
| 225100000X | Physical Therapist | PTL.0018839 (Colorado) | 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. Michael Craig Mahan allows following entities to bill medicare on his behalf.
| Entity Name | Therapeutic Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
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| Entity Name | Benchmark Physical Therapy Of Oregon Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1801257191 PECOS PAC ID: 0143510602 Enrollment ID: O20160613001008 |
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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. Michael Craig Mahan 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 |
Michael Craig Mahan, PT, DPT Po Box 5718, Kalispell, MT 59903-5718 Ph: (406) 756-0134 | Michael Craig Mahan, PT, DPT 3000 Center Green Dr Ste 300, Boulder, CO 80301-2364 Ph: (303) 413-9903 |
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