Integrative Performance Medical Group, Pllc is a
Specialist based in Edwardsville, Illinois. Integrative Performance Medical Group, Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
200 S Buchanan St, Edwardsville, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 659-8889.
NPI number for Integrative Performance Medical Group, Pllc is 1699232637 and their current mailing address is 200 S Buchanan St, Edwardsville, Illinois. Integrative Performance Medical Group, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699232637.
Healthcare Provider's Profile
Full Name | Integrative Performance Medical Group, Pllc |
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Type | Facility |
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Speciality | Specialist |
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Location | 200 S Buchanan St, Edwardsville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699232637
- Provider Enumeration Date: 02/26/2019
- Last Update Date: 02/26/2019
Medical Identifiers
Medical identifiers for Integrative Performance Medical Group, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699232637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
174400000X | Specialist | (* (Not Available)) | Primary |
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. Integrative Performance Medical Group, 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 |
Integrative Performance Medical Group, Pllc 200 S Buchanan St, Edwardsville, IL 62025-2109 Ph: (618) 659-8889 | Integrative Performance Medical Group, Pllc 200 S Buchanan St, Edwardsville, IL 62025-2109 Ph: (618) 659-8889 |
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