Mr Paul Humphries, PT in Minooka, IL - Medicare Physical Therapist Provider

Mr Paul Humphries, PT is a medicare enrolled "Physical Therapist" provider in Minooka, Illinois. His current practice location is 1010 S Ridge Rd, Minooka, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 521-4400.

Mr Paul Humphries is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730371329.

Contact Information

	Mr Paul Humphries, PT
	1010 S Ridge Rd, Minooka, IL 60447-8810
	(815) 521-4400
	(815) 521-9709

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Humphries
Gender	Male
Speciality	Physical Therapist
Location	1010 S Ridge Rd, Minooka, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730371329
Provider Enumeration Date: 08/16/2007
Last Update Date: 08/16/2007

Medicare PECOS Information:

PECOS PAC ID: 3577538537
Enrollment ID: I20040902000193

Medical Identifiers

Medical identifiers for Mr Paul Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730371329	NPI	-	NPPES
9932202	Other	IL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Illinois)	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. Mr Paul Humphries allows following entities to bill medicare on his behalf.

Provider Name	Pro-motion Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689607368 PECOS PAC ID: 0143295196 Enrollment ID: O20040901000814

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. Mr Paul Humphries 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
Mr Paul Humphries, PT 1010 S Ridge Road, Minooka, IL 60447 Ph: (815) 521-4400	Mr Paul Humphries, PT 1010 S Ridge Rd, Minooka, IL 60447-8810 Ph: (815) 521-4400

Reviews and Comments

Physical Therapist in Minooka, IL

Mrs. Frances Wedge, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S Ridge Rd, Minooka, IL 60447 Phone: 815-521-4400 Fax: 815-521-9709
Miss Jayne Sutcliffe, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1010 S Ridge Rd, Minooka, IL 60447 Phone: 815-521-4400 Fax: 815-521-9709
Athletic & Therapeutic Institute Of Bourbonnais, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2081 Ridge Rd, Suite101, Minooka, IL 60447 Phone: 815-467-1612 Fax: 815-467-1866
Danielle M Adolph, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2081 Ridge Rd, Suite 101, Minooka, IL 60447 Phone: 815-467-1612
Jason E Gall, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2081 Ridge Rd Ste 101, Minooka, IL 60447 Phone: 815-467-1612
Katherine Boll, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2081 Ridge Rd, Suite 101, Minooka, IL 60447 Phone: 815-467-1612 Fax: 815-467-1866
Genevieve Krumlinde, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2081 Ridge Rd, Ste 101, Minooka, IL 60447 Phone: 815-467-1612 Fax: 815-467-1866

Mr Paul Humphries, PT - Medicare Physical Therapist in Minooka, IL