Abundant Life Health Center Llc is a medicare enrolled "Chiropractor" provider in St. Johns, Florida. Their current practice location is
254 Everest Lane, St. Johns, Florida. You can reach out to their office (for appointments etc.) via phone at
(904) 862-2662.
Abundant Life Health Center Llc is licensed to practice in Florida (license number CH12184) and it also participates in the medicare program. Abundant Life Health Center 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 1003328022.
Healthcare Provider's Profile
| Full Name | Abundant Life Health Center Llc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 254 Everest Lane, St. Johns, Florida |
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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: 1003328022
- Provider Enumeration Date: 10/31/2017
- Last Update Date: 10/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 3971861261
- Enrollment ID: O20171214000449
Medical Identifiers
Medical identifiers for Abundant Life Health Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003328022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CH12184 (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.
Abundant Life Health Center Llc acts as a billing entity for following providers:
| Provider Name | Vassil I Valov |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1104856129
PECOS PAC ID: 8123038460
Enrollment ID: I20171214000502 |
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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. Abundant Life Health Center 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 |
|---|
Abundant Life Health Center Llc
56 Canary Palm Ct,
Ponte Vedra, FL 32081-6100
Ph: (904) 862-2662 | Abundant Life Health Center Llc
254 Everest Lane,
St. Johns, FL 32259
Ph: (904) 862-2662 |
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