Cody Lane Castellaw, DPT in Rexburg, ID - Medicare Physical Therapist Provider

Cody Lane Castellaw, DPT is a medicare enrolled "Physical Therapist" provider in Rexburg, Idaho. His current practice location is 393 E 2nd N, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 359-9570.

Cody Lane Castellaw is licensed to practice in Idaho (license number PT-3504) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154728426.

Contact Information

	Cody Lane Castellaw, DPT
	393 E 2nd N, Rexburg, ID 83440-1605
	(208) 359-9570
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cody Lane Castellaw
Gender	Male
Speciality	Physical Therapist
Location	393 E 2nd N, Rexburg, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154728426
Provider Enumeration Date: 12/02/2014
Last Update Date: 12/02/2014

Medicare PECOS Information:

PECOS PAC ID: 6002198975
Enrollment ID: I20170130001168

Medical Identifiers

Medical identifiers for Cody Lane Castellaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154728426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-3504 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cody Lane Castellaw allows following entities to bill medicare on his behalf.

Provider Name	Mhd Therapies Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1316484983 PECOS PAC ID: 7113201831 Enrollment ID: O20170224000739

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. Cody Lane Castellaw 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
Cody Lane Castellaw, DPT 393 E 2nd N, Rexburg, ID 83440-1605 Ph: (208) 359-9570	Cody Lane Castellaw, DPT 393 E 2nd N, Rexburg, ID 83440-1605 Ph: (208) 359-9570

Reviews and Comments

Physical Therapist in Rexburg, ID

Jakob Carstens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502
Clark Dabell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502
Cordell Pickering, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 526 First American Cir Ste B, Rexburg, ID 83440 Phone: 208-534-7001
Anthony Humphries, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502
Morgan Jesse Ricks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36 Winn Dr Ste 100, Rexburg, ID 83440 Phone: 208-356-0174 Fax: 208-356-0176
George Garald Griffeth, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6532

Cody Lane Castellaw, DPT - Medicare Physical Therapist in Rexburg, ID