Evergreen Synergy Physical Therapy Llc is a medicare enrolled "Physical Therapist" provider in Randolph, Maine. Their current practice location is
160 Water St Ste 1, Randolph, Maine. You can reach out to their office (for appointments etc.) via phone at
(207) 446-2864.
Evergreen Synergy Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Evergreen Synergy Physical Therapy Llc
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 1427865013.
Healthcare Provider's Profile
| Full Name | Evergreen Synergy Physical Therapy Llc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 160 Water St Ste 1, Randolph, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427865013
- Provider Enumeration Date: 12/17/2024
- Last Update Date: 01/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486175643
- Enrollment ID: O20250305000928
Medical Identifiers
Medical identifiers for Evergreen Synergy Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427865013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (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.
Evergreen Synergy Physical Therapy Llc acts as a billing entity for following providers:
| Provider Name | Wendy R Allard |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1225271521 PECOS PAC ID: 2062561277 Enrollment ID: I20090519000168 |
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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. Evergreen Synergy Physical Therapy Llc 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 |
Evergreen Synergy Physical Therapy Llc 30 Paradise Cove Ln, Somerville, ME 04348-3221 Ph: (207) 446-2864 | Evergreen Synergy Physical Therapy Llc 160 Water St Ste 1, Randolph, ME 04346-5106 Ph: (207) 446-2864 |
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