Mr Jameel Mikal Moksa Battle, DPT, AT, DIPL OM is a medicare enrolled "Physical Therapist" provider in Cincinnati, Ohio. His current practice location is
4010 Executive Park Dr Ste 135, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 742-2669.
Mr Jameel Mikal Moksa Battle is licensed to practice in Ohio (license number PT017757) 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 1598096125.
Healthcare Provider's Profile
| Full Name | Mr Jameel Mikal Moksa Battle |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 4010 Executive Park Dr Ste 135, Cincinnati, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598096125
- Provider Enumeration Date: 01/21/2010
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123356342
- Enrollment ID: I20190827001376
Medical Identifiers
Medical identifiers for Mr Jameel Mikal Moksa Battle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598096125 | NPI | - | NPPES |
| 0005429 | Medicaid | OH | |
| 0481352 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 66.000066 (Ohio) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PT017757 (Ohio) | 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. Mr Jameel Mikal Moksa Battle allows following entities to bill medicare on his behalf.
| Provider Name | Integrative Health And Sports Medicine |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477048320
PECOS PAC ID: 7214265438
Enrollment ID: O20190827001242 |
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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. Mr Jameel Mikal Moksa Battle 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 |
|---|
Mr Jameel Mikal Moksa Battle, DPT, AT, DIPL OM
Po Box 18337,
Cincinnati, OH 45218-0337
Ph: (513) 349-4665 | Mr Jameel Mikal Moksa Battle, DPT, AT, DIPL OM
4010 Executive Park Dr Ste 135,
Cincinnati, OH 45241-4013
Ph: (513) 742-2669 |
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