Pine Peak Audiology is a medicare enrolled "Physical Therapist" provider in Fosston, Minnesota. Their current practice location is
103 1st St W, Fosston, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(218) 431-0009.
Pine Peak Audiology is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pine Peak Audiology
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 1982477030.
Healthcare Provider's Profile
Full Name | Pine Peak Audiology |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 103 1st St W, Fosston, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982477030
- Provider Enumeration Date: 10/31/2023
- Last Update Date: 03/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820447493
- Enrollment ID: O20231207001962
Medical Identifiers
Medical identifiers for Pine Peak Audiology such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982477030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
231H00000X | Audiologist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pine Peak Audiology acts as a billing entity for following providers:
Provider Name | Mallory Alice Vig |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1376033357 PECOS PAC ID: 0143694737 Enrollment ID: I20230322001510 |
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Provider Name | Vickie M Anderson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1164984647 PECOS PAC ID: 5991154577 Enrollment ID: I20240112003966 |
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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. Pine Peak Audiology 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 |
Pine Peak Audiology Po Box 300, Fosston, MN 56542-0300 Ph: (218) 435-1210 | Pine Peak Audiology 103 1st St W, Fosston, MN 56542-1212 Ph: (218) 431-0009 |
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