Agewise Therapy Llc is a medicare enrolled "Occupational Therapist" provider in Bennet, Nebraska. Their current practice location is
50 Tall Grass Cir, Bennet, Nebraska. You can reach out to their office (for appointments etc.) via phone at
(402) 310-9505.
Agewise Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Agewise Therapy Llc
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 1205726890.
Healthcare Provider's Profile
| Full Name | Agewise Therapy Llc |
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| Type | Facility |
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| Speciality | Occupational Therapist |
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| Location | 50 Tall Grass Cir, Bennet, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205726890
- Provider Enumeration Date: 07/07/2025
- Last Update Date: 07/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567977267
- Enrollment ID: O20250711003319
Medical Identifiers
Medical identifiers for Agewise Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205726890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | (* (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.
Agewise Therapy Llc acts as a billing entity for following providers:
| Provider Name | Shannon Renae Ruzicka |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1871767988 PECOS PAC ID: 8921538885 Enrollment ID: I20250206002432 |
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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. Agewise Therapy Llc 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 |
Agewise Therapy Llc 50 Tall Grass Cir, Bennet, NE 68317-2411 Ph: (402) 310-9505 | Agewise Therapy Llc 50 Tall Grass Cir, Bennet, NE 68317-2411 Ph: (402) 310-9505 |
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