Living Water Wellness And Therapy Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Portage, Indiana. Their current practice location is
6643 Lagoon Way, Apartment 4, Portage, Indiana. You can reach out to their office (for appointments etc.) via phone at
(248) 210-8805.
Living Water Wellness And Therapy Llc is licensed to practice in Indiana (license number 05010477A) and it also participates in the medicare program. Living Water Wellness And 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 1265776017.
Healthcare Provider's Profile
| Full Name | Living Water Wellness And Therapy Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Physical Therapy |
|---|
| Location | 6643 Lagoon Way, Portage, Indiana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1265776017
- Provider Enumeration Date: 11/17/2012
- Last Update Date: 02/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022260538
- Enrollment ID: O20121208000009
Medical Identifiers
Medical identifiers for Living Water Wellness And Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265776017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 05010477A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Living Water Wellness And Therapy Llc acts as a billing entity for following providers:
| Provider Name | Charles A Kirkland |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1467525857
PECOS PAC ID: 7315922317
Enrollment ID: I20110328000008 |
|---|
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. Living Water Wellness And 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 |
|---|
Living Water Wellness And Therapy Llc
7895 Broadway Ste D,
Merrillville, IN 46410-5529
Ph: (213) 200-2163 | Living Water Wellness And Therapy Llc
6643 Lagoon Way, Apartment 4,
Portage, IN 46368-4277
Ph: (248) 210-8805 |
Reviews and Comments