Mollie Rae Beyers, PT, DPT
Individual provider Active NPI Physical Therapist · Pana, IL
NPI 1891992368 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891992368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 101 E 9TH St
Pana, IL 62557-1716 - Phone
- (217) 562-6328
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pana Community Hospital Association
Practice addresses (Care Compare)
101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210901001365 | IL | Practitioner - Physical Therapist in Private Practice | 6901202837 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-009175 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pana Community Hospital Association | Current |
Accepting new patients | |
| Pana Community Hospital Association | Current |
Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients |
Locations
800 E Main St
Moweaqua, IL 62550
Phone (217) 562-6305
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
101 E 9TH St
Pana, IL 62557-1716
Mailing address
1010 S Pine St
Pana, IL 62557-1874
Phone (217) 562-2431
Other providers in Pana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.