Revive Integrative Health Llc. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Salina, Kansas. Their current practice location is
645 E Iron Ave Ste C, Salina, Kansas. You can reach out to their office (for appointments etc.) via phone at
(785) 577-5736.
Revive Integrative Health Llc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Revive Integrative Health Llc.
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 1184387235.
Healthcare Provider's Profile
| Full Name | Revive Integrative Health Llc. |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 645 E Iron Ave Ste C, Salina, Kansas |
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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: 1184387235
- Provider Enumeration Date: 10/15/2021
- Last Update Date: 01/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456729193
- Enrollment ID: O20221130000986
Medical Identifiers
Medical identifiers for Revive Integrative Health Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184387235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Revive Integrative Health Llc. acts as a billing entity for following providers:
| Provider Name | Shayla L Trost |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1760868533
PECOS PAC ID: 5698105328
Enrollment ID: I20200421002301 |
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| Provider Name | Kourtney Kincaid |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1568060069
PECOS PAC ID: 0547678138
Enrollment ID: I20210420002299 |
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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. Revive Integrative Health Llc. 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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Revive Integrative Health Llc.
645 E Iron Ave Ste C,
Salina, KS 67401-2697
Ph: (785) 577-5736 | Revive Integrative Health Llc.
645 E Iron Ave Ste C,
Salina, KS 67401-2697
Ph: (785) 577-5736 |
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