Autumn Grove, in Lakewood, CO - Medicare Physical Therapist Provider

Autumn Grove, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Lakewood, Colorado. Her current practice location is 11185 W. 6th Avenue, Lakewood, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 239-6060.

Autumn Grove is licensed to practice in Colorado (license number PTL. 0013479) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033596747.

Contact Information

	Autumn Grove,
	11185 W. 6th Avenue, Lakewood, CO 80215
	(303) 239-6060
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Autumn Grove
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	11185 W. 6th Avenue, Lakewood, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033596747
Provider Enumeration Date: 05/01/2015
Last Update Date: 08/04/2015

Medicare PECOS Information:

PECOS PAC ID: 9032569033
Enrollment ID: I20240102003960

Medical Identifiers

Medical identifiers for Autumn Grove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033596747	NPI	-	NPPES
PTL. 0013479	Other	CO	COLORADO STATE PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PTL. 0013479 (Colorado)	Primary

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. Autumn Grove allows following entities to bill medicare on her behalf.

Provider Name	Lake City Physical Therapy P A
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952521411 PECOS PAC ID: 3678465234 Enrollment ID: O20040503001343

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. Autumn Grove 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
Autumn Grove, 11185 W. 6th Avenue, Lakewood, CO 80215 Ph: (303) 239-6060	Autumn Grove, 11185 W. 6th Avenue, Lakewood, CO 80215 Ph: (303) 239-6060

Reviews and Comments

Physical Therapist in Lakewood, CO

Fit Physical Tehrapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Dover St, Lakewood, CO 80215 Phone: 303-409-2133 Fax: 303-409-2233
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Zachary Azimi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8383 W Alameda Ave, Lakewood, CO 80226 Phone: 303-338-4545
Taylor Amy Claydon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3255 S Wadsworth Blvd Ste A-2, Lakewood, CO 80227 Phone: 303-993-4438 Fax: 303-993-4817
Vital Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12211 W Alameda Pkwy, Suite 104, Lakewood, CO 80228 Phone: 720-519-1548
Nancy Sue Boisture, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 393 South Harlan Street, Suite 170, Lakewood, CO 80226 Phone: 303-233-1666

Autumn Grove, - Medicare Physical Therapist in Lakewood, CO