My Heroes, Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Fort Collins, Colorado. Their current practice location is
725 S Overland Trail, Fort Collins, Colorado. You can reach out to their office (for appointments etc.) via phone at
(678) 984-7774.
My Heroes, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. My Heroes, 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 1811021157.
Healthcare Provider's Profile
| Full Name | My Heroes, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 725 S Overland Trail, Fort Collins, Colorado |
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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: 1811021157
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 05/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244512101
- Enrollment ID: O20250513001078
Medical Identifiers
Medical identifiers for My Heroes, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811021157 | NPI | - | NPPES |
| 148541482B | Medicaid | GA | |
| 52704274 | Other | GA | BCBS OF GA PROVIDER ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT007063 (Georgia) | 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.
My Heroes, Llc acts as a billing entity for following providers:
| Provider Name | George Brent Applegate |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1306970629
PECOS PAC ID: 1153603014
Enrollment ID: I20250513001116 |
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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. My Heroes, 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 |
|---|
My Heroes, Llc
316 S Washington Ave,
Fort Collins, CO 80521-2559
Ph: (678) 984-7774 | My Heroes, Llc
725 S Overland Trail,
Fort Collins, CO 80523-1669
Ph: (678) 984-7774 |
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