Orlando Resorts Spine & Body is a medicare enrolled "Nurse Practitioner" provider in Kissimmee, Florida. Their current practice location is
2940 Mallory Cir Ste 205, Kissimmee, Florida. You can reach out to their office (for appointments etc.) via phone at
(407) 507-6976.
Orlando Resorts Spine & Body is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Orlando Resorts Spine & Body
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 1689902199.
Healthcare Provider's Profile
Full Name | Orlando Resorts Spine & Body |
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Type | Facility |
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Speciality | Nurse Practitioner |
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Location | 2940 Mallory Cir Ste 205, Kissimmee, Florida |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689902199
- Provider Enumeration Date: 11/20/2009
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072653971
- Enrollment ID: O20091229000030
Medical Identifiers
Medical identifiers for Orlando Resorts Spine & Body such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689902199 | NPI | - | NPPES |
1689902199 | Other | FL | GROUP NPI |
2201B | Other | FL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Orlando Resorts Spine & Body acts as a billing entity for following providers:
Provider Name | Bret J Macdermott |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1417035940 PECOS PAC ID: 9436125648 Enrollment ID: I20091229000025 |
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Provider Name | James T Dishman |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1689680340 PECOS PAC ID: 2961439047 Enrollment ID: I20120420000403 |
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Provider Name | Luis Alejandro Rosado |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1124430301 PECOS PAC ID: 9739474834 Enrollment ID: I20160829002372 |
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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. Orlando Resorts Spine & Body 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 |
Orlando Resorts Spine & Body 2940 Mallory Cir Ste 205, Kissimmee, FL 34747-1818 Ph: (407) 507-6976 | Orlando Resorts Spine & Body 2940 Mallory Cir Ste 205, Kissimmee, FL 34747-1818 Ph: (407) 507-6976 |
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