Caribou Physical Therapy P.c. is a medicare enrolled "Physical Therapist" provider in Hope, Idaho. Their current practice location is
47390 Highway 200, Hope, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 265-8333.
Caribou Physical Therapy P.c. is licensed to practice in Idaho (license number 225100000X) and it also participates in the medicare program. Caribou Physical Therapy P.c.
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 1366698003.
Healthcare Provider's Profile
| Full Name | Caribou Physical Therapy P.c. |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 47390 Highway 200, Hope, Idaho |
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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: 1366698003
- Provider Enumeration Date: 08/13/2008
- Last Update Date: 05/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860553112
- Enrollment ID: O20081205000273
Medical Identifiers
Medical identifiers for Caribou Physical Therapy P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366698003 | NPI | - | NPPES |
| 000010023365 | Other | ID | BLUE SHIELD |
| TD780 | Other | | BLUE CROSS |
| 804274300 | Medicaid | ID | |
| 12083282 | Other | ID | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 225100000X (Idaho) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Caribou Physical Therapy P.c. acts as a billing entity for following providers:
| Provider Name | Paula A Lund |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1306858311
PECOS PAC ID: 4880626704
Enrollment ID: I20050831000399 |
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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. Caribou Physical Therapy P.c. 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 |
|---|
Caribou Physical Therapy P.c.
22 Roundhouse Cir,
Sandpoint, ID 83864-8674
Ph: (208) 265-8333 | Caribou Physical Therapy P.c.
47390 Highway 200,
Hope, ID 83836-9647
Ph: (208) 265-8333 |
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