Dreams With Wings, Inc is a medicare enrolled "Behavior Analyst" provider in Louisville, Kentucky. Their current practice location is
2106 Bardstown Rd, Louisville, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(502) 459-4647.
Dreams With Wings, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dreams With Wings, Inc
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 1164638516.
Healthcare Provider's Profile
| Full Name | Dreams With Wings, Inc |
|---|
| Type | Facility |
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| Speciality | Behavior Analyst |
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| Location | 2106 Bardstown Rd, Louisville, Kentucky |
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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: 1164638516
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 05/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446525471
- Enrollment ID: O20171002001378
Medical Identifiers
Medical identifiers for Dreams With Wings, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164638516 | NPI | - | NPPES |
| 7100351020 | Medicaid | KY | |
| 7100350130 | Medicaid | KY | |
| 7100352090 | Medicaid | KY | |
| 33000068 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (Kentucky) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (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.
Dreams With Wings, Inc acts as a billing entity for following providers:
| Provider Name | Emily K Board |
|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1205369139
PECOS PAC ID: 6204109895
Enrollment ID: I20170901001518 |
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| Provider Name | Terri Lynn Stoltz |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1699978213
PECOS PAC ID: 8325323918
Enrollment ID: I20171012002205 |
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| Provider Name | Stephanie Blum |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1336556216
PECOS PAC ID: 4981062767
Enrollment ID: I20230627001383 |
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| Provider Name | Peyton M Goodlett |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1023638590
PECOS PAC ID: 2769841014
Enrollment ID: I20230705000190 |
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| Provider Name | Brittany Marie Lanter |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1760269658
PECOS PAC ID: 5294272670
Enrollment ID: I20240802001298 |
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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. Dreams With Wings, Inc 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 |
|---|
Dreams With Wings, Inc
1579 Bardstown Rd,
Louisville, KY 40205-1150
Ph: (502) 459-4647 | Dreams With Wings, Inc
2106 Bardstown Rd,
Louisville, KY 40205-1916
Ph: (502) 459-4647 |
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