Panda Physical Medicine Llc is a medicare enrolled "Nurse Practitioner" provider in Eatontown, New Jersey. Their current practice location is
142 Highway 35 Ste 107, Eatontown, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(732) 898-3040.
Panda Physical Medicine Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Panda Physical Medicine Llc
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 1043711203.
Healthcare Provider's Profile
| Full Name | Panda Physical Medicine Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner |
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| Location | 142 Highway 35 Ste 107, Eatontown, New Jersey |
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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: 1043711203
- Provider Enumeration Date: 02/23/2018
- Last Update Date: 05/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476816372
- Enrollment ID: O20180405002247
Medical Identifiers
Medical identifiers for Panda Physical Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043711203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (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.
Panda Physical Medicine Llc acts as a billing entity for following providers:
| Provider Name | Charles A Ferrante |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1780759258
PECOS PAC ID: 7810082765
Enrollment ID: I20071008000019 |
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| Provider Name | Sofia T Gamidova |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1326481276
PECOS PAC ID: 7618119413
Enrollment ID: I20150202001484 |
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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. Panda Physical Medicine Llc 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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Panda Physical Medicine Llc
904 Deal Rd Apt 12,
Ocean, NJ 07712-3443
Ph: (732) 455-1375 | Panda Physical Medicine Llc
142 Highway 35 Ste 107,
Eatontown, NJ 07724-1864
Ph: (732) 898-3040 |
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