Collaborative Healthcare Llc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Lexington, South Carolina. Their current practice location is
716 Old Cherokee Rd, Lexington, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(803) 359-2273.
Collaborative Healthcare Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Collaborative Healthcare 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 1174961882.
Healthcare Provider's Profile
| Full Name | Collaborative Healthcare Llc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 716 Old Cherokee Rd, Lexington, South Carolina |
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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: 1174961882
- Provider Enumeration Date: 06/05/2013
- Last Update Date: 06/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 7517100985
- Enrollment ID: O20130904000446
Medical Identifiers
Medical identifiers for Collaborative Healthcare Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174961882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Collaborative Healthcare Llc acts as a billing entity for following providers:
| Provider Name | Darin Shane Conner |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1952324501
PECOS PAC ID: 1254507742
Enrollment ID: I20120105000043 |
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| Provider Name | Elizabeth Baker Tumaliuan |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1275016586
PECOS PAC ID: 4385998657
Enrollment ID: I20181127000151 |
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| Provider Name | Sonya Lane |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1598058315
PECOS PAC ID: 4486019411
Enrollment ID: I20230427000119 |
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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. Collaborative Healthcare 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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Collaborative Healthcare Llc
716 Old Cherokee Rd,
Lexington, SC 29072-9406
Ph: (803) 359-2273 | Collaborative Healthcare Llc
716 Old Cherokee Rd,
Lexington, SC 29072-9406
Ph: (803) 359-2273 |
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