Mountain Range Of Motion, Llc is a medicare enrolled "Physical Therapist" provider in Madison, Maine. Their current practice location is
1120 Thurston Hill Road, Madison, Maine. You can reach out to their office (for appointments etc.) via phone at
(207) 696-3688.
Mountain Range Of Motion, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mountain Range Of Motion, 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 1891369716.
Healthcare Provider's Profile
| Full Name | Mountain Range Of Motion, Llc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 1120 Thurston Hill Road, Madison, Maine |
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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: 1891369716
- Provider Enumeration Date: 05/15/2021
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395241764
- Enrollment ID: O20251003002123
Medical Identifiers
Medical identifiers for Mountain Range Of Motion, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891369716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mountain Range Of Motion, Llc acts as a billing entity for following providers:
| Provider Name | Jessica Jean Bouffard Buja |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1861513020
PECOS PAC ID: 8022474568
Enrollment ID: I20230525001209 |
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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. Mountain Range Of Motion, 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 |
|---|
Mountain Range Of Motion, Llc
1120 Thurston Hill Road,
Madison, ME 04950
Ph: (207) 696-3688 | Mountain Range Of Motion, Llc
1120 Thurston Hill Road,
Madison, ME 04950
Ph: (207) 696-3688 |
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