Stillwater Spine & Sports Center, Inc. - Medicare in Kalispell, MT

Stillwater Spine & Sports Center, Inc. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Kalispell, Montana. Their current practice location is 3171 Hwy 93 N, Suite C, Kalispell, Montana. You can reach out to their office (for appointments etc.) via phone at (406) 756-7634.

Stillwater Spine & Sports Center, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Stillwater Spine & Sports Center, 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 1831370378.

Contact Information

Stillwater Spine & Sports Center, Inc.
3171 Hwy 93 N, Suite C,
Kalispell, MT 59901
(406) 756-7634
(406) 756-7643



Healthcare Provider's Profile

Full NameStillwater Spine & Sports Center, Inc.
TypeFacility
SpecialityClinic/center - Physical Therapy
Location3171 Hwy 93 N, Kalispell, Montana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831370378
  • Provider Enumeration Date: 11/26/2007
  • Last Update Date: 04/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901846948
  • Enrollment ID: O20050509000843

Medical Identifiers

Medical identifiers for Stillwater Spine & Sports Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831370378NPI-NPPES
000084625OtherMTMEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NS0005XChiropractor - Sports Physician 1014 (Montana)Secondary
111NS0005XChiropractor - Sports Physician (* (Not Available))Secondary
175F00000XNaturopath (* (Not Available))Secondary
261QP2000XClinic/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. Stillwater Spine & Sports Center, Inc. acts as a billing entity for following providers:
Provider NameTye K Le Duc
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1285648964
PECOS PAC ID: 1759272230
Enrollment ID: I20050509000333

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Provider NameTommy D Warden
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Provider IdentifiersNPI Number: 1407029325
PECOS PAC ID: 0042399180
Enrollment ID: I20080430000872

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Provider NameJohn J Ogden
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1639506645
PECOS PAC ID: 7911136122
Enrollment ID: I20140211001387

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Provider NameJennifer Rose Gauthier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518333764
PECOS PAC ID: 9638489719
Enrollment ID: I20151102000550

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Provider NameJazper Ethan Torres
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1033164967
PECOS PAC ID: 5799797734
Enrollment ID: I20190502001751

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Provider NameZachary H Weijohn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528578119
PECOS PAC ID: 4587077003
Enrollment ID: I20201230001188

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Provider NameShelton G Todd
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PECOS PAC ID: 9133599699
Enrollment ID: I20221228001929

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Provider NameJason Hirtzel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871065946
PECOS PAC ID: 5799132460
Enrollment ID: I20231117001187

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› Verified 3 days ago

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. Stillwater Spine & Sports Center, 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 AddressPractice Location Address
Stillwater Spine & Sports Center, Inc.
3171 Hwy 93 N, Suite C,
Kalispell, MT 59901

Ph: (406) 756-7634
Stillwater Spine & Sports Center, Inc.
3171 Hwy 93 N, Suite C,
Kalispell, MT 59901

Ph: (406) 756-7634

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› Verified 3 days ago



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