Optimum Therapies Of Rice Lake is a medicare enrolled "Clinic/center - Physical Therapy" provider in Rice Lake, Wisconsin. Their current practice location is
2600 S Wisconsin Ave Ste 1, Rice Lake, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(715) 236-3610.
Optimum Therapies Of Rice Lake is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Optimum Therapies Of Rice Lake
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 1992338909.
Healthcare Provider's Profile
| Full Name | Optimum Therapies Of Rice Lake |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2600 S Wisconsin Ave Ste 1, Rice Lake, Wisconsin |
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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: 1992338909
- Provider Enumeration Date: 02/18/2020
- Last Update Date: 07/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678904042
- Enrollment ID: O20200519002111
Medical Identifiers
Medical identifiers for Optimum Therapies Of Rice Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992338909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (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.
Optimum Therapies Of Rice Lake acts as a billing entity for following providers:
| Provider Name | Mark D Smith |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1316995525
PECOS PAC ID: 2163327743
Enrollment ID: I20031212000747 |
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| Provider Name | Darrin A Schober |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1588657951
PECOS PAC ID: 6901793652
Enrollment ID: I20100929001586 |
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| Provider Name | Nicole L Pederson |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1659498475
PECOS PAC ID: 1254505142
Enrollment ID: I20131127001198 |
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| Provider Name | Andrew Olson |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1235755265
PECOS PAC ID: 4880004118
Enrollment ID: I20201027003537 |
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| Provider Name | Anna C Vaughn |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1962621318
PECOS PAC ID: 0941395115
Enrollment ID: I20210226001243 |
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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. Optimum Therapies Of Rice Lake 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 |
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Optimum Therapies Of Rice Lake
517 E Clairemont Ave,
Eau Claire, WI 54701-6479
Ph: (715) 855-0408 | Optimum Therapies Of Rice Lake
2600 S Wisconsin Ave Ste 1,
Rice Lake, WI 54868-7527
Ph: (715) 236-3610 |
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