Highway 30 Physical Therapy And Rehabilitation, Llc is a medicare enrolled "Clinic/center" provider in Merriville, Indiana. Their current practice location is
333 W. 89th Avenue, Suite W4, Merriville, Indiana. You can reach out to their office (for appointments etc.) via phone at
(219) 648-2041.
Highway 30 Physical Therapy And Rehabilitation, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Highway 30 Physical Therapy And Rehabilitation, 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 1306307178.
Healthcare Provider's Profile
| Full Name | Highway 30 Physical Therapy And Rehabilitation, Llc |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 333 W. 89th Avenue, Merriville, Indiana |
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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: 1306307178
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 02/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 0345582946
- Enrollment ID: O20190501001365
Medical Identifiers
Medical identifiers for Highway 30 Physical Therapy And Rehabilitation, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306307178 | NPI | - | NPPES |
| 300027182 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (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.
Highway 30 Physical Therapy And Rehabilitation, Llc acts as a billing entity for following providers:
| Provider Name | Joyce E Youngbrandt |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1609063890
PECOS PAC ID: 8123910676
Enrollment ID: I20210708000293 |
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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. Highway 30 Physical Therapy And Rehabilitation, 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 |
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Highway 30 Physical Therapy And Rehabilitation, Llc
333 W. 89th Avenue, Suite W4,
Merriville, IN 46410-7050
Ph: (219) 648-2041 | Highway 30 Physical Therapy And Rehabilitation, Llc
333 W. 89th Avenue, Suite W4,
Merriville, IN 46410-7050
Ph: (219) 648-2041 |
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