Broward Spine Institute Llc is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" provider in Hollywood, Florida. Their current practice location is
3702 Washington St, Ste 101, Hollywood, Florida. You can reach out to their office (for appointments etc.) via phone at
(954) 272-2225.
Broward Spine Institute Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Broward Spine Institute 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 1821219155.
Healthcare Provider's Profile
| Full Name | Broward Spine Institute Llc |
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| Type | Facility |
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| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
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| Location | 3702 Washington St, Hollywood, 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: 1821219155
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 05/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 0244292969
- Enrollment ID: O20041103000940
Medical Identifiers
Medical identifiers for Broward Spine Institute Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821219155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | (* (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.
Broward Spine Institute Llc acts as a billing entity for following providers:
| Provider Name | Barry J Cutler |
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| Provider Type | Practitioner - Neurology |
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| Provider Identifiers | NPI Number: 1639121171
PECOS PAC ID: 9830085646
Enrollment ID: I20040226000944 |
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| Provider Name | Gary B Schwartz |
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| Provider Type | Practitioner - Hand Surgery |
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| Provider Identifiers | NPI Number: 1568480168
PECOS PAC ID: 9032102173
Enrollment ID: I20040628000757 |
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| Provider Name | Marshall E Stauber |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1235113671
PECOS PAC ID: 0547253684
Enrollment ID: I20041108000301 |
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| Provider Name | Roland D Kaplan |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1033192737
PECOS PAC ID: 1951364397
Enrollment ID: I20041108000340 |
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| Provider Name | Vania E Fernandez |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1124229497
PECOS PAC ID: 2466511316
Enrollment ID: I20081106000415 |
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| Provider Name | Richard I Fields |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1073856308
PECOS PAC ID: 3476799636
Enrollment ID: I20140702002598 |
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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. Broward Spine Institute 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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Broward Spine Institute Llc
3702 Washington St, Ste 101,
Hollywood, FL 33021-8282
Ph: (954) 272-2225 | Broward Spine Institute Llc
3702 Washington St, Ste 101,
Hollywood, FL 33021-8282
Ph: (954) 272-2225 |
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