Peak Performance Physical Therapy And Sports Medicine, Pllc is a medicare enrolled "Physical Therapist" provider in New Rockford, North Dakota. Their current practice location is
207 1st Ave S, Suite C, New Rockford, North Dakota. You can reach out to their office (for appointments etc.) via phone at
(701) 947-2030.
Peak Performance Physical Therapy And Sports Medicine, Pllc is licensed to practice in North Dakota (license number 20793500) and it also participates in the medicare program. Peak Performance Physical Therapy And Sports Medicine, 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 1336237403.
Healthcare Provider's Profile
| Full Name | Peak Performance Physical Therapy And Sports Medicine, Pllc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 207 1st Ave S, New Rockford, North Dakota |
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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: 1336237403
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 04/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 3870520703
- Enrollment ID: O20050722000359
Medical Identifiers
Medical identifiers for Peak Performance Physical Therapy And Sports Medicine, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336237403 | NPI | - | NPPES |
| 55080 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 20793500 (North Dakota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Peak Performance Physical Therapy And Sports Medicine, Pllc acts as a billing entity for following providers:
| Provider Name | Matthew A Ystaas |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1750675856
PECOS PAC ID: 9436328077
Enrollment ID: I20110816000372 |
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| Provider Name | Melissa S Ystaas |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1164821153
PECOS PAC ID: 7416177076
Enrollment ID: I20141001002821 |
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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. Peak Performance Physical Therapy And Sports Medicine, 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 |
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Peak Performance Physical Therapy And Sports Medicine, Pllc
207 1st Ave S Ste C,
New Rockford, ND 58356-1800
Ph: (701) 947-2030 | Peak Performance Physical Therapy And Sports Medicine, Pllc
207 1st Ave S, Suite C,
New Rockford, ND 58356-1800
Ph: (701) 947-2030 |
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