Hugo Dahlstrom, is a medicare enrolled "Occupational Therapist" provider in Fort Scott, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2010 and has 14 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice I Am Rehab Llc and his current practice location is
405 Woodland Hills Blvd, Fort Scott, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 223-7073.
Hugo Dahlstrom is licensed to practice in Kansas (license number 17-02686) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578038907.
Healthcare Provider's Profile
| Full Name | Hugo Dahlstrom |
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| Gender | Male |
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| Speciality | Occupational Therapy |
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| Experience | 14 Years |
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| Location | 405 Woodland Hills Blvd, Fort Scott, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Hugo Dahlstrom attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2010
NPI Data:
- NPI Number: 1578038907
- Provider Enumeration Date: 10/12/2018
- Last Update Date: 10/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 2961742507
- Enrollment ID: I20190319001909
Medical Identifiers
Medical identifiers for Hugo Dahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578038907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 17-02686 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| I Am Rehab Llc | 7416297056 | 2 |
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. Hugo Dahlstrom allows following entities to bill medicare on his behalf.
| Provider Name | I Am Rehab 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: 1609343094
PECOS PAC ID: 7416297056
Enrollment ID: O20190319001401 |
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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. Hugo Dahlstrom 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 |
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Hugo Dahlstrom,
13943 W 150th Ter,
Olathe, KS 66062-3326
Ph: () - | Hugo Dahlstrom,
405 Woodland Hills Blvd,
Fort Scott, KS 66701-8799
Ph: (620) 223-7073 |
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