Permian Basin Rehabilitation Center For Crippled Children And Adults is a medicare enrolled "Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf)" provider in Odessa, Texas. Their current practice location is
620 N Alleghaney Ave, Odessa, Texas. You can reach out to their office (for appointments etc.) via phone at
(432) 332-8244.
Permian Basin Rehabilitation Center For Crippled Children And Adults is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Permian Basin Rehabilitation Center For Crippled Children And Adults
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 1104958701.
Healthcare Provider's Profile
| Full Name | Permian Basin Rehabilitation Center For Crippled Children And Adults |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
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| Location | 620 N Alleghaney Ave, Odessa, Texas |
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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: 1104958701
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 12/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 1254243942
- Enrollment ID: O20031024000050
Medical Identifiers
Medical identifiers for Permian Basin Rehabilitation Center For Crippled Children And Adults such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104958701 | NPI | - | NPPES |
| 051CT | Other | TX | BCBS GROUP NUMBER |
| 5589378 | Other | TX | AETNA BILLING NUM |
| 531269 | Other | TX | BCBS HEARING AID ID NUM |
| 094460501 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |
| 261QR0401X | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) | (* (Not Available)) | Primary |
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. Permian Basin Rehabilitation Center For Crippled Children And Adults 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 |
|---|
Permian Basin Rehabilitation Center For Crippled Children And Adults
620 N Alleghaney Ave,
Odessa, TX 79761-4408
Ph: (432) 332-8244 | Permian Basin Rehabilitation Center For Crippled Children And Adults
620 N Alleghaney Ave,
Odessa, TX 79761-4408
Ph: (432) 332-8244 |
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