Countryside Therapy Group, Inc is a medicare enrolled "Clinic/center - Rehabilitation" provider in Stephenville, Texas. Their current practice location is
515 W Lingleville Rd, Stephenville, Texas. You can reach out to their office (for appointments etc.) via phone at
(254) 965-3611.
Countryside Therapy Group, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Countryside Therapy Group, Inc
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 1710999289.
Healthcare Provider's Profile
| Full Name | Countryside Therapy Group, Inc |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 515 W Lingleville Rd, Stephenville, Texas |
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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: 1710999289
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244290237
- Enrollment ID: O20041014000106
Medical Identifiers
Medical identifiers for Countryside Therapy Group, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710999289 | NPI | - | NPPES |
| 172242301 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | 009330 (Texas) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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. Countryside Therapy Group, Inc 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 |
|---|
Countryside Therapy Group, Inc
515 W Lingleville Rd,
Stephenville, TX 76401-2211
Ph: (254) 965-3611 | Countryside Therapy Group, Inc
515 W Lingleville Rd,
Stephenville, TX 76401-2211
Ph: (254) 965-3611 |
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