Advanced Medical Weight Loss Rx S.c. is a medicare enrolled "General Practice" provider in Glen Carbon, Illinois. Their current practice location is
19 Junction Dr, Glen Carbon, Illinois. You can reach out to their office (for appointments etc.) via phone at
(618) 655-0990.
Advanced Medical Weight Loss Rx S.c. is licensed to practice in Illinois (license number 038009646) and it also participates in the medicare program. Advanced Medical Weight Loss Rx S.c.
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 1578967188.
Healthcare Provider's Profile
Full Name | Advanced Medical Weight Loss Rx S.c. |
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Type | Facility |
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Speciality | General Practice |
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Location | 19 Junction Dr, Glen Carbon, Illinois |
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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: 1578967188
- Provider Enumeration Date: 10/13/2014
- Last Update Date: 11/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486979994
- Enrollment ID: O20150204000849
Medical Identifiers
Medical identifiers for Advanced Medical Weight Loss Rx S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578967188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
208D00000X | General Practice | 038009646 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Advanced Medical Weight Loss Rx S.c. acts as a billing entity for following providers:
Provider Name | Joshua H Hottes |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1205142718 PECOS PAC ID: 4688844038 Enrollment ID: I20110823000513 |
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Provider Name | Rosemary L Staten |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1376809525 PECOS PAC ID: 1951564210 Enrollment ID: I20120523000703 |
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Provider Name | Cameron Gordineer |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1730959610 PECOS PAC ID: 8325585318 Enrollment ID: I20240808001282 |
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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. Advanced Medical Weight Loss Rx S.c. 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 |
Advanced Medical Weight Loss Rx S.c. 19 Junction Dr, Glen Carbon, IL 62034-4300 Ph: (618) 655-0990 | Advanced Medical Weight Loss Rx S.c. 19 Junction Dr, Glen Carbon, IL 62034-4300 Ph: (618) 655-0990 |
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