Moose Physical Therapy, Pllc in Peoria, IL - Medicare Physical Therapist Provider

Moose Physical Therapy, Pllc is a medicare enrolled "Physical Therapist" provider in Peoria, Illinois. Their current practice location is 2000 W Pioneer Pkwy Ste 22, Peoria, Illinois. You can reach out to their office (for appointments etc.) via phone at (309) 670-0853.

Moose Physical Therapy, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Moose Physical Therapy, 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 1053927640.

Contact Information

	Moose Physical Therapy, Pllc
	2000 W Pioneer Pkwy Ste 22, Peoria, IL 61615-5805
	(309) 670-0853
	(309) 279-5211

Map and Direction

Healthcare Provider's Profile

Full Name	Moose Physical Therapy, Pllc
Type	Facility
Speciality	Physical Therapist
Location	2000 W Pioneer Pkwy Ste 22, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053927640
Provider Enumeration Date: 09/18/2020
Last Update Date: 10/31/2021

Medicare PECOS Information:

PECOS PAC ID: 7517378391
Enrollment ID: O20201130002211

Medical Identifiers

Medical identifiers for Moose Physical Therapy, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053927640	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. Moose Physical Therapy, Pllc acts as a billing entity for following providers:

Provider Name	Jeremy D Calame
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1164735601 PECOS PAC ID: 9032302104 Enrollment ID: I20101021000340

Provider Name	Jonathan D Hamm
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1992932289 PECOS PAC ID: 7719134600 Enrollment ID: I20120828000841

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. Moose Physical Therapy, 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
Moose Physical Therapy, Pllc 2000 W Pioneer Pkwy Ste 22, Peoria, IL 61615-5805 Ph: (309) 670-0853	Moose Physical Therapy, Pllc 2000 W Pioneer Pkwy Ste 22, Peoria, IL 61615-5805 Ph: (309) 670-0853

Reviews and Comments

Physical Therapist in Peoria, IL

Michelle C Bayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2338 W Van Winkle Way, Suite 3100, Peoria, IL 61615 Phone: 309-693-9189 Fax: 309-693-9946
Jonathan R Sutter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-4109
Matthew Schultz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-621-4111
Molly D Lisenby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5009 N Executive Dr Ste B, Peoria, IL 61614 Phone: 309-839-8631 Fax: 855-579-3536
Vanessa L Halstead, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-687-2035
Mrs. Theresa L. Snedden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-692-8110
Carol Sue Loughridge, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-631-1040

Moose Physical Therapy, Pllc - Medicare Physical Therapist in Peoria, IL