Southshore Physical Therapy Pllc in Hazen, ND - Medicare Physical Therapist Provider

Southshore Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in Hazen, North Dakota. Their current practice location is 104 12th Ave Nw Unit 5, Hazen, North Dakota. You can reach out to their office (for appointments etc.) via phone at (701) 891-2043.

Southshore Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southshore Physical Therapy 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 1134874654.

Contact Information

	Southshore Physical Therapy Pllc
	104 12th Ave Nw Unit 5, Hazen, ND 58545-4106
	(701) 891-2043
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Southshore Physical Therapy Pllc
Type	Facility
Speciality	Physical Therapist
Location	104 12th Ave Nw Unit 5, Hazen, North Dakota
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134874654
Provider Enumeration Date: 02/14/2022
Last Update Date: 02/14/2022

Medicare PECOS Information:

PECOS PAC ID: 9830572080
Enrollment ID: O20220819002668

Medical Identifiers

Medical identifiers for Southshore Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134874654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (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. Southshore Physical Therapy Pllc acts as a billing entity for following providers:

Provider Name	Nicholas J Miller
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1902191778 PECOS PAC ID: 8820267404 Enrollment ID: I20110816000863

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. Southshore Physical Therapy 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
Southshore Physical Therapy Pllc 104 12th Ave Nw Unit 5, Hazen, ND 58545-4106 Ph: (701) 891-2043	Southshore Physical Therapy Pllc 104 12th Ave Nw Unit 5, Hazen, ND 58545-4106 Ph: (701) 891-2043

Reviews and Comments

Physical Therapist in Hazen, ND

Dannette Rosella Huber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-2225
Ortho-sports Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 7th Street Nw, Hazen, ND 58545 Phone: 701-748-3700 Fax: 701-748-3707
Jennifer Hetzler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-2225 Fax: 701-748-5757
Lisa Fletcher, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-7276
Steven P Ziegler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 7th Street Nw, Hazen, ND 58545 Phone: 701-748-3700 Fax: 701-748-3707
Mary Jo Larson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-2225 Fax: 701-748-5757

Southshore Physical Therapy Pllc - Medicare Physical Therapist in Hazen, ND