Innermovement Wellness is a medicare enrolled "Acupuncturist" provider in Glendale, California. Their current practice location is
230 N Maryland Ave Ste 309, Glendale, California. You can reach out to their office (for appointments etc.) via phone at
(818) 549-1300.
Innermovement Wellness is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Innermovement Wellness
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 1396319869.
Healthcare Provider's Profile
| Full Name | Innermovement Wellness |
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| Type | Facility |
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| Speciality | Acupuncturist |
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| Location | 230 N Maryland Ave Ste 309, Glendale, 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: 1396319869
- Provider Enumeration Date: 05/18/2021
- Last Update Date: 09/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456890482
- Enrollment ID: O20240822000934
Medical Identifiers
Medical identifiers for Innermovement Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396319869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (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.
Innermovement Wellness acts as a billing entity for following providers:
| Provider Name | Mykyta Predtechenskyi |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1336622745
PECOS PAC ID: 1153758859
Enrollment ID: I20200218002742 |
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| Provider Name | Veronica I Sanchez |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1639263551
PECOS PAC ID: 3577910322
Enrollment ID: I20231115003283 |
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| Provider Name | Angel Sifuentes |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1770207615
PECOS PAC ID: 3577055201
Enrollment ID: I20251120002848 |
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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. Innermovement Wellness 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 |
|---|
Innermovement Wellness
230 N Maryland Ave Ste 309,
Glendale, CA 91206-4281
Ph: (818) 549-1300 | Innermovement Wellness
230 N Maryland Ave Ste 309,
Glendale, CA 91206-4281
Ph: (818) 549-1300 |
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