Boulder Mountain Physical Therapy - Medicare Physical Therapist in Hailey, ID

Boulder Mountain Physical Therapy is a medicare enrolled "Physical Therapist" provider in Hailey, Idaho. Their current practice location is 507 S Main St, Hailey, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 788-0061.

Boulder Mountain Physical Therapy is licensed to practice in Idaho (license number PT- 647) and it also participates in the medicare program. Boulder Mountain 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 1659586600.

Contact Information

Boulder Mountain Physical Therapy
507 S Main St,
Hailey, ID 83333-8428
(208) 788-0061
Not Available



Healthcare Provider's Profile

Full NameBoulder Mountain Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location507 S Main St, Hailey, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659586600
  • Provider Enumeration Date: 05/13/2007
  • Last Update Date: 08/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9335044510
  • Enrollment ID: O20031201000663

Medical Identifiers

Medical identifiers for Boulder Mountain Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659586600NPI-NPPES
000010136534OtherIDBLUE SHIELD
T9685OtherIDBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT- 647 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Boulder Mountain Physical Therapy acts as a billing entity for following providers:
Provider NameMark E Morgan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013137850
PECOS PAC ID: 6103721386
Enrollment ID: I20031211000323

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› Verified 5 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. Boulder Mountain 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 AddressPractice Location Address
Boulder Mountain Physical Therapy
Po Box 1191,
Hailey, ID 83333-1191

Ph: (208) 788-0061
Boulder Mountain Physical Therapy
507 S Main St,
Hailey, ID 83333-8428

Ph: (208) 788-0061

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Physical Therapist in Hailey, ID

Mark Morgan, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 221 S River St, Hailey, ID 83333
Phone: 208-788-0061    Fax: 208-788-2211
Aspire Physical Therapy, Pllc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 113 E Bullion St, Suite C, Hailey, ID 83333
Phone: 208-720-3421    Fax: 208-297-2680
Jennifer M Cook, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 21 E Maple St, Suite D, Hailey, ID 83333
Phone: 208-481-0275    
Hailey Sport And Spine
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 810 S Main St, Ste 7a, Hailey, ID 83333
Phone: 208-788-6312    Fax: 208-578-1053
Mrs. Gloria Gould Gunter, MPT, MED, PCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 113 E Bullion St, Suite C, Hailey, ID 83333
Phone: 208-720-3421    Fax: 208-297-2680
Derek Anton Schildknecht, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1014 Business Park Dr Ste A, Hailey, ID 83333
Phone: 208-788-6312    Fax: 208-578-1053
Mary A Hogan,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 21 E Maple St, Suite D, Hailey, ID 83333
Phone: 208-481-0275    

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