Advance Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Sheridan, Wyoming. Their current practice location is
727 E Brundage Ln, Sheridan, Wyoming. You can reach out to their office (for appointments etc.) via phone at
(307) 683-0123.
Advance Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advance Therapy
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 1609229319.
Healthcare Provider's Profile
| Full Name | Advance Therapy |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 727 E Brundage Ln, Sheridan, Wyoming |
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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: 1609229319
- Provider Enumeration Date: 07/18/2016
- Last Update Date: 09/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941598437
- Enrollment ID: O20161017001480
Medical Identifiers
Medical identifiers for Advance Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609229319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational 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.
Advance Therapy acts as a billing entity for following providers:
| Provider Name | Virginia J Rieger |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1932432101
PECOS PAC ID: 7315084514
Enrollment ID: I20091020000749 |
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| Provider Name | Brian Curtis Allred |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1669755252
PECOS PAC ID: 3971775297
Enrollment ID: I20111011000306 |
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| Provider Name | Brianne Alysse Martin |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1891326385
PECOS PAC ID: 6103254396
Enrollment ID: I20200323001146 |
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| Provider Name | Hector Ignacio Baquedano |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1982271177
PECOS PAC ID: 9032512454
Enrollment ID: I20210722003025 |
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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. Advance Therapy 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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Advance Therapy
727 E Brundage Ln Ste L,
Sheridan, WY 82801-6280
Ph: (307) 683-0123 | Advance Therapy
727 E Brundage Ln,
Sheridan, WY 82801-6274
Ph: (307) 683-0123 |
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