Montana Legacy Pt, Pllc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Miles City, Montana. Their current practice location is
1009 Main St, Miles City, Montana. You can reach out to their office (for appointments etc.) via phone at
(406) 852-7335.
Montana Legacy Pt, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Montana Legacy Pt, Pllc
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 1114596764.
Healthcare Provider's Profile
| Full Name | Montana Legacy Pt, Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1009 Main St, Miles City, Montana |
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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: 1114596764
- Provider Enumeration Date: 06/18/2021
- Last Update Date: 02/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 2062819147
- Enrollment ID: O20210916002964
Medical Identifiers
Medical identifiers for Montana Legacy Pt, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114596764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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.
Montana Legacy Pt, Pllc acts as a billing entity for following providers:
| Provider Name | Jessica Rosencranz |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1073804530 PECOS PAC ID: 2860650769 Enrollment ID: I20120223000469 |
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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. Montana Legacy Pt, Pllc 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 |
Montana Legacy Pt, Pllc 618 S Lake Ave, Miles City, MT 59301-4529 Ph: (406) 852-7335 | Montana Legacy Pt, Pllc 1009 Main St, Miles City, MT 59301-3409 Ph: (406) 852-7335 |
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