Nonsurgical Medical Group, Inc. is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" provider in Santa Ana, California. Their current practice location is
3801 S Harbor Blvd, Suite B, Santa Ana, California. You can reach out to their office (for appointments etc.) via phone at
(714) 751-5555.
Nonsurgical Medical Group, Inc. is licensed to practice in California (license number G17592) and it also participates in the medicare program. Nonsurgical Medical Group, 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 1659505402.
Healthcare Provider's Profile
| Full Name | Nonsurgical Medical Group, Inc. |
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| Type | Facility |
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| Speciality | Orthopaedic Surgery - Sports Medicine |
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| Location | 3801 S Harbor Blvd, Santa Ana, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659505402
- Provider Enumeration Date: 05/08/2009
- Last Update Date: 07/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 2769529635
- Enrollment ID: O20091026000401
Medical Identifiers
Medical identifiers for Nonsurgical Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659505402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC12991 (California) | Secondary |
| 207Q00000X | Family Medicine | A52791 (California) | Secondary |
| 207R00000X | Internal Medicine | A52791 (California) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | G17592 (California) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | PT12558 (California) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Nonsurgical Medical Group, Inc. acts as a billing entity for following providers:
| Provider Name | Carmen M Cordes |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1295710382
PECOS PAC ID: 8729053806
Enrollment ID: I20040901000252 |
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| Provider Name | Jimmy H Soliman |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1770517278
PECOS PAC ID: 8729170238
Enrollment ID: I20070828000548 |
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| Provider Name | James P Hall |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1407950892
PECOS PAC ID: 6901944388
Enrollment ID: I20091210000435 |
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| Provider Name | Kelsey C. Peterson |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1033281019
PECOS PAC ID: 6103074067
Enrollment ID: I20120918000567 |
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| Provider Name | Martin J Backman |
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| Provider Type | Practitioner - Neurology |
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| Provider Identifiers | NPI Number: 1699738385
PECOS PAC ID: 4789722174
Enrollment ID: I20140924001697 |
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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. Nonsurgical Medical Group, 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 Address | Practice Location Address |
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Nonsurgical Medical Group, Inc.
3801 S Harbor Blvd, Suite B,
Santa Ana, CA 92704-7901
Ph: (714) 751-5555 | Nonsurgical Medical Group, Inc.
3801 S Harbor Blvd, Suite B,
Santa Ana, CA 92704-7901
Ph: (714) 751-5555 |
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