Jonathan Dac-moang Liem, DPT - Medicare Physical Therapist in Blackfoot, ID

Jonathan Dac-moang Liem, DPT is a medicare enrolled "Physical Therapist" provider in Blackfoot, Idaho. His current practice location is 1441 Parkway Dr Ste 1, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-3446.

Jonathan Dac-moang Liem is licensed to practice in Idaho (license number PT-8771) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235903279.

Contact Information

Jonathan Dac-moang Liem, DPT
1441 Parkway Dr Ste 1,
Blackfoot, ID 83221-1667
(208) 785-3446
(208) 980-7241



Healthcare Provider's Profile

Full NameJonathan Dac-moang Liem
GenderMale
SpecialityPhysical Therapist
Location1441 Parkway Dr Ste 1, Blackfoot, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235903279
  • Provider Enumeration Date: 11/09/2023
  • Last Update Date: 11/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193176758
  • Enrollment ID: I20240108004608

Medical Identifiers

Medical identifiers for Jonathan Dac-moang Liem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235903279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-8771 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan Dac-moang Liem allows following entities to bill medicare on his behalf.
Provider NameRocky Mountain Physical Therapy Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1538172648
PECOS PAC ID: 0345213278
Enrollment ID: O20040818000288

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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. Jonathan Dac-moang Liem 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
Jonathan Dac-moang Liem, DPT
1441 Parkway Dr Ste 1,
Blackfoot, ID 83221-1667

Ph: (208) 785-3446
Jonathan Dac-moang Liem, DPT
1441 Parkway Dr Ste 1,
Blackfoot, ID 83221-1667

Ph: (208) 785-3446

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A new study from the USC Davis School of Gerontology found that caregivers of different ethnicities showed few negative mental or physical health effects as a result of tending to a family member with dementia.

Exelixis starts phase 3 pivotal trial of cabozantinib for treatment of metastatic renal cell carcinoma

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Physical Therapist in Blackfoot, ID

Tyce Alden Stewart, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 285 W Francis St, Blackfoot, ID 83221
Phone: 208-785-0123    Fax: 208-782-1885
Bryan J. Gibby, MSPT, CWS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1492 Christensen Dr, Blackfoot, ID 83221
Phone: 208-240-7221    
Jessica Annelaine Vandyke, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 282 W Bridge St, Blackfoot, ID 83221
Phone: 208-684-0021    
Brian Don Boehme,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    
Pete Richar Johnson,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 131 N Oak St, Blackfoot, ID 83221
Phone: 208-684-2444    
Mr. Dustin Cade Schmitt, MPT, CSCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 285 W Francis St, Blackfoot, ID 83221
Phone: 208-785-0123    

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