Quail Run Physical Therapy in Lakeport, CA - Medicare Physical Therapist Provider

Quail Run Physical Therapy is a medicare enrolled "Physical Therapist" provider in Lakeport, California. Their current practice location is 422 Lakeport Blvd, Lakeport, California. You can reach out to their office (for appointments etc.) via phone at (707) 263-6845.

Quail Run Physical Therapy is licensed to practice in California (license number PT11399) and it also participates in the medicare program. Quail Run Physical Therapy 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 1477614741.

Contact Information

	Quail Run Physical Therapy
	422 Lakeport Blvd, Lakeport, CA 95453-5404
	(707) 263-6845
	(707) 263-6451

Map and Direction

Healthcare Provider's Profile

Full Name	Quail Run Physical Therapy
Type	Facility
Speciality	Physical Therapist
Location	422 Lakeport Blvd, Lakeport, California
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477614741
Provider Enumeration Date: 12/12/2006
Last Update Date: 07/16/2015

Medicare PECOS Information:

PECOS PAC ID: 7911004049
Enrollment ID: O20080327000351

Medical Identifiers

Medical identifiers for Quail Run Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477614741	NPI	-	NPPES
ZZZ06870Z	Other	CA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT11399 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Quail Run Physical Therapy acts as a billing entity for following providers:

Provider Name	Lemuel C Martin
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1083622039 PECOS PAC ID: 4284731324 Enrollment ID: I20080327000339

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. Quail Run Physical Therapy 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
Quail Run Physical Therapy Po Box 1560, Lakeport, CA 95453-1560 Ph: (707) 263-6845	Quail Run Physical Therapy 422 Lakeport Blvd, Lakeport, CA 95453-5404 Ph: (707) 263-6845

Reviews and Comments

Physical Therapist in Lakeport, CA

Mr. Lemuel Campomanes Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1281 Craig Avenue, Lakeport, CA 95453 Phone: 707-263-4564 Fax: 707-263-4572
Aundrea Renee Tyner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 381 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-5210
Matthew J. Garrean, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1281 Craig Ave, Lakeport, CA 95453 Phone: 707-263-4564 Fax: 707-263-4572
Clear Lake Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1173 11th Street, Lakeport, CA 95453 Phone: 707-263-1295 Fax: 707-263-1295
Lakeport Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 381 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-5210 Fax: 707-263-8045
Mr. Ildefonso Timple Campomanes Iii, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1281 Craig Ave, Lakeport, CA 95453 Phone: 707-263-4564 Fax: 707-263-4572

Quail Run Physical Therapy - Medicare Physical Therapist in Lakeport, CA