1 Source Chiropractic & Physical Medicine Center Inc is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" provider in Land O Lakes, Florida. Their current practice location is
2718 Letap Ct, Land O Lakes, Florida. You can reach out to their office (for appointments etc.) via phone at
(813) 448-2222.
1 Source Chiropractic & Physical Medicine Center Inc is licensed to practice in Florida (license number ME114962) and it also participates in the medicare program. 1 Source Chiropractic & Physical Medicine Center 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 1235481524.
Healthcare Provider's Profile
| Full Name | 1 Source Chiropractic & Physical Medicine Center Inc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 2718 Letap Ct, Land O Lakes, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235481524
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 01/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 9234381302
- Enrollment ID: O20121219000070
Medical Identifiers
Medical identifiers for 1 Source Chiropractic & Physical Medicine Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235481524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | CH8357 (Florida) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME114962 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
1 Source Chiropractic & Physical Medicine Center Inc acts as a billing entity for following providers:
| Provider Name | Jorge L Santana |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1255459301 PECOS PAC ID: 0941478879 Enrollment ID: I20110720000770 |
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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. 1 Source Chiropractic & Physical Medicine Center 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 |
1 Source Chiropractic & Physical Medicine Center Inc 2718 Letap Ct, Land O Lakes, FL 34638-7218 Ph: (813) 448-2222 | 1 Source Chiropractic & Physical Medicine Center Inc 2718 Letap Ct, Land O Lakes, FL 34638-7218 Ph: (813) 448-2222 |
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