Prairie Ridge Orthopedic is a
Massage Therapist based in Noble, Illinois. Prairie Ridge Orthopedic is licensed to practice in * (Not Available) (license number ) and their current practice location is
1750 E Colborn Camp Ln, Noble, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 302-1703.
NPI number for Prairie Ridge Orthopedic is 1033718192 and their current mailing address is 1750 E Colborn Camp Ln, Noble, Illinois. Prairie Ridge Orthopedic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1033718192.
Healthcare Provider's Profile
| Full Name | Prairie Ridge Orthopedic |
|---|
| Type | Facility |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 1750 E Colborn Camp Ln, Noble, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033718192
- Provider Enumeration Date: 10/20/2020
- Last Update Date: 11/15/2022
Medical Identifiers
Medical identifiers for Prairie Ridge Orthopedic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033718192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
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. Prairie Ridge Orthopedic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Prairie Ridge Orthopedic 1750 E Colborn Camp Ln, Noble, IL 62868-2348 Ph: (618) 302-1703 | Prairie Ridge Orthopedic 1750 E Colborn Camp Ln, Noble, IL 62868-2348 Ph: (618) 302-1703 |
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