Physialign Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in South Burlington, Vermont. Their current practice location is
1233 Shelburne Rd Ste 190, South Burlington, Vermont. You can reach out to their office (for appointments etc.) via phone at
(802) 318-0581.
Physialign Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Physialign 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 1093378168.
Healthcare Provider's Profile
| Full Name | Physialign Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1233 Shelburne Rd Ste 190, South Burlington, Vermont |
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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: 1093378168
- Provider Enumeration Date: 04/15/2019
- Last Update Date: 12/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 2466789912
- Enrollment ID: O20190807001430
Medical Identifiers
Medical identifiers for Physialign Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093378168 | NPI | - | NPPES |
| 040.0066530 | Other | VT | VT LICENCE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (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.
Physialign Llc acts as a billing entity for following providers:
| Provider Name | Lauren Wedam |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1811208135
PECOS PAC ID: 0547454514
Enrollment ID: I20101103000941 |
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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. Physialign 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 |
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Physialign Llc
Po Box 64823,
Burlington, VT 05406-4823
Ph: (802) 318-0581 | Physialign Llc
1233 Shelburne Rd Ste 190,
South Burlington, VT 05403-7733
Ph: (802) 318-0581 |
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