Family Health Group is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" provider in San Jose, California. Their current practice location is
4986 Cherry Ave, San Jose, California. You can reach out to their office (for appointments etc.) via phone at
(408) 978-6712.
Family Health Group is licensed to practice in California (license number A79732) and it also participates in the medicare program. Family Health Group
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 1255790358.
Healthcare Provider's Profile
| Full Name | Family Health Group |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 4986 Cherry Ave, San Jose, California |
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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: 1255790358
- Provider Enumeration Date: 02/17/2016
- Last Update Date: 11/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315239134
- Enrollment ID: O20160714000587
Medical Identifiers
Medical identifiers for Family Health Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255790358 | NPI | - | NPPES |
| A79732 | Other | CA | MEDICAL BOARD LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | A79732 (California) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | A79732 (California) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Family Health Group acts as a billing entity for following providers:
| Provider Name | Ronald Ajluni |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1346252160
PECOS PAC ID: 5991978637
Enrollment ID: I20111025000829 |
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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. Family Health Group 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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Family Health Group
4986 Cherry Ave,
San Jose, CA 95118
Ph: (408) 978-6712 | Family Health Group
4986 Cherry Ave,
San Jose, CA 95118
Ph: (408) 978-6712 |
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