Bear Lake Physical And Sports Therapy Pc is a medicare enrolled "Physical Therapist" provider in Garden City, Utah. Their current practice location is
95 West 50 South, Garden City, Utah. You can reach out to their office (for appointments etc.) via phone at
(435) 946-2777.
Bear Lake Physical And Sports Therapy Pc is licensed to practice in Utah (license number 3519742401) and it also participates in the medicare program. Bear Lake Physical And Sports Therapy Pc
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 1669568481.
Healthcare Provider's Profile
| Full Name | Bear Lake Physical And Sports Therapy Pc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 95 West 50 South, Garden City, Utah |
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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: 1669568481
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 08/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264537687
- Enrollment ID: O20121106000253
Medical Identifiers
Medical identifiers for Bear Lake Physical And Sports Therapy Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669568481 | NPI | - | NPPES |
| 805197000 | Medicaid | ID | |
| 529198060001 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 3519742401 (Utah) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Bear Lake Physical And Sports Therapy Pc acts as a billing entity for following providers:
| Provider Name | Kam E Jarman |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1710073523
PECOS PAC ID: 4183729502
Enrollment ID: I20070809000731 |
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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. Bear Lake Physical And Sports Therapy Pc 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 |
|---|
Bear Lake Physical And Sports Therapy Pc
Po Box 276,
Garden City, UT 84028-0276
Ph: (435) 946-2777 | Bear Lake Physical And Sports Therapy Pc
95 West 50 South,
Garden City, UT 84028-0276
Ph: (435) 946-2777 |
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