Pgpt, Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Petoskey, Michigan. Their current practice location is
2609 Charlevoix Ave, Petoskey, Michigan. You can reach out to their office (for appointments etc.) via phone at
(989) 858-5107.
Pgpt, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pgpt, 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 1083456834.
Healthcare Provider's Profile
| Full Name | Pgpt, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2609 Charlevoix Ave, Petoskey, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083456834
- Provider Enumeration Date: 06/12/2024
- Last Update Date: 12/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537690441
- Enrollment ID: O20241002003878
Medical Identifiers
Medical identifiers for Pgpt, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083456834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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.
Pgpt, Llc acts as a billing entity for following providers:
| Provider Name | Dean E Tahtinen |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1942202619
PECOS PAC ID: 8921998980
Enrollment ID: I20040405001040 |
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| Provider Name | Thomas W Kirkby |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1942464870
PECOS PAC ID: 6103993902
Enrollment ID: I20080919000518 |
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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. Pgpt, 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 |
|---|
Pgpt, Llc
2609 Charlevoix Ave,
Petoskey, MI 49770
Ph: (989) 858-5107 | Pgpt, Llc
2609 Charlevoix Ave,
Petoskey, MI 49770
Ph: (989) 858-5107 |
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