Dynamic Medical And Rehab Pllc is a
Psychiatry & Neurology - Neurology based in Louisville, Kentucky. Dynamic Medical And Rehab Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3747 Diann Marie Rd, Louisville, Kentucky. It can be reached at their office (for appointments etc.) via phone at
(502) 426-9200.
NPI number for Dynamic Medical And Rehab Pllc is 1417256710 and their current mailing address is 3747 Diann Marie Rd, Louisville, Kentucky. Dynamic Medical And Rehab Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1417256710.
Healthcare Provider's Profile
| Full Name | Dynamic Medical And Rehab Pllc |
|---|
| Type | Facility |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 3747 Diann Marie Rd, Louisville, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417256710
- Provider Enumeration Date: 03/25/2011
- Last Update Date: 08/05/2021
Medical Identifiers
Medical identifiers for Dynamic Medical And Rehab Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417256710 | NPI | - | NPPES |
| 7100205820 | Medicaid | KY | |
| 000000710768 | Other | KY | ANTHEM |
| 7100206020 | Medicaid | KY | |
| 7100210310 | Medicaid | KY | |
| 7100234180 | Medicaid | KY | |
| 7100210390 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (Kentucky) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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. Dynamic Medical And Rehab Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dynamic Medical And Rehab Pllc
3747 Diann Marie Rd,
Louisville, KY 40241
Ph: (502) 426-9200 | Dynamic Medical And Rehab Pllc
3747 Diann Marie Rd,
Louisville, KY 40241
Ph: (502) 426-9200 |
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