Peninsula Pain And Rehabilitation Center is a medicare enrolled "Specialist" provider in Newport News, Virginia. Their current practice location is
11015 Warwick Blvd, Newport News, Virginia. You can reach out to their office (for appointments etc.) via phone at
(757) 591-7291.
Peninsula Pain And Rehabilitation Center is licensed to practice in Virginia (license number VA0101022154) and it also participates in the medicare program. Peninsula Pain And Rehabilitation Center
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 1053427740.
Healthcare Provider's Profile
| Full Name | Peninsula Pain And Rehabilitation Center |
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| Type | Facility |
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| Speciality | Specialist |
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| Location | 11015 Warwick Blvd, Newport News, Virginia |
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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: 1053427740
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 1658354261
- Enrollment ID: O20040612000238
Medical Identifiers
Medical identifiers for Peninsula Pain And Rehabilitation Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053427740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 0104001063 (Virginia) | Primary |
| 174400000X | Specialist | VA0101022154 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Peninsula Pain And Rehabilitation Center acts as a billing entity for following providers:
| Provider Name | Michael S Cook |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1578585790
PECOS PAC ID: 6709032626
Enrollment ID: I20120809000086 |
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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. Peninsula Pain And Rehabilitation Center 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 |
|---|
Peninsula Pain And Rehabilitation Center
11015 Warwick Blvd,
Newport News, VA 23601-3225
Ph: (757) 591-7291 | Peninsula Pain And Rehabilitation Center
11015 Warwick Blvd,
Newport News, VA 23601-3225
Ph: (757) 591-7291 |
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