Samuel Timothy Hetherington, DPT - Medicare Physical Therapist in Nampa, ID

Samuel Timothy Hetherington, DPT is a medicare enrolled "Physical Therapist" provider in Nampa, Idaho. His current practice location is 2005 12th Ave Rd, Nampa, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 463-0022.

Samuel Timothy Hetherington is licensed to practice in Idaho (license number PT-6926) 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 1093325979.

Contact Information

Samuel Timothy Hetherington, DPT
2005 12th Ave Rd,
Nampa, ID 83686-6311
(208) 463-0022
(208) 463-0031



Healthcare Provider's Profile

Full NameSamuel Timothy Hetherington
GenderMale
SpecialityPhysical Therapist
Location2005 12th Ave Rd, Nampa, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093325979
  • Provider Enumeration Date: 08/05/2020
  • Last Update Date: 08/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1658797519
  • Enrollment ID: I20200821002817

Medical Identifiers

Medical identifiers for Samuel Timothy Hetherington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093325979NPI-NPPES
PT-6926OtherIDSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-6926 (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. Samuel Timothy Hetherington allows following entities to bill medicare on his behalf.
Provider NameIdaho Physical Therapy Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1427103837
PECOS PAC ID: 1254473903
Enrollment ID: O20100119000742

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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. Samuel Timothy Hetherington 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
Samuel Timothy Hetherington, DPT
2005 12th Ave Rd,
Nampa, ID 83686-6311

Ph: (208) 463-0022
Samuel Timothy Hetherington, DPT
2005 12th Ave Rd,
Nampa, ID 83686-6311

Ph: (208) 463-0022

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Physical Therapist in Nampa, ID

Nathan Ira Allen, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2635 Caldwell Blvd, Ste. B, Nampa, ID 83651
Phone: 208-442-0577    Fax: 208-442-7455
Peter James Rowley, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 337 W Iowa Ave, Nampa, ID 83686
Phone: 208-467-7889    Fax: 208-467-7800
Carmen M Schmidt, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 220 10th Ave S, Nampa, ID 83651
Phone: 208-489-5950    
Mr. James Richard Teater, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687
Phone: 208-205-5059    
Derek Matthew Wood, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 172 2nd St S, Nampa, ID 83651
Phone: 208-385-3620    
Verl Dean Cook, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 14873 Hensen Dr, Nampa, ID 83651
Phone: 208-475-1986    
Hannah Byerly, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1809 N Bingham Dr, Nampa, ID 83651
Phone: 208-880-8377    

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