Michaela Brooke Lupo, DPT in La Grande, OR - Medicare Physical Therapist Provider

Michaela Brooke Lupo, DPT is a medicare enrolled "Physical Therapist" provider in La Grande, Oregon. Her current practice location is 2519 Cove Ave, La Grande, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 962-0830.

Michaela Brooke Lupo is licensed to practice in Oregon (license number 63427) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881241834.

Contact Information

	Michaela Brooke Lupo, DPT
	2519 Cove Ave, La Grande, OR 97850-3910
	(541) 962-0830
	(541) 975-2720

Map and Direction

Healthcare Provider's Profile

Full Name	Michaela Brooke Lupo
Gender	Female
Speciality	Physical Therapist
Location	2519 Cove Ave, La Grande, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881241834
Provider Enumeration Date: 08/23/2019
Last Update Date: 08/23/2019

Medicare PECOS Information:

PECOS PAC ID: 4981036506
Enrollment ID: I20221021000498

Medical Identifiers

Medical identifiers for Michaela Brooke Lupo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881241834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11-06290 (Kansas)	Secondary
225100000X	Physical Therapist	2019021794 (Missouri)	Secondary
225100000X	Physical Therapist	63427 (Oregon)	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. Michaela Brooke Lupo allows following entities to bill medicare on her behalf.

Provider Name	Dr Amanda Fisher Dpt Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033659610 PECOS PAC ID: 8224312715 Enrollment ID: O20170301000358

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. Michaela Brooke Lupo 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
Michaela Brooke Lupo, DPT 2515 N 2nd St, La Grande, OR 97850-2319 Ph: (816) 977-3870	Michaela Brooke Lupo, DPT 2519 Cove Ave, La Grande, OR 97850-3910 Ph: (541) 962-0830

Reviews and Comments

Physical Therapist in La Grande, OR

Joanna Hallam, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830
James Arthur Gorham, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 Fax: 541-975-2720
Julia Rae Richard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437
Mr. James Russell Hottal, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830
Mr. Benjamin Michael Bertrand, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 4th St, La Grande, OR 97850 Phone: 541-963-9340 Fax: 541-962-4562
Jennifer Sloop Moore, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437
Jefferson K Whinery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437

Michaela Brooke Lupo, DPT - Medicare Physical Therapist in La Grande, OR