Pivotal Health And Rehab Llc is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" provider in Columbia, South Carolina. Their current practice location is
120 Highland Center Dr, Columbia, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(803) 254-4699.
Pivotal Health And Rehab Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pivotal Health And Rehab 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 1720812670.
Healthcare Provider's Profile
| Full Name | Pivotal Health And Rehab Llc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 120 Highland Center Dr, Columbia, South Carolina |
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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: 1720812670
- Provider Enumeration Date: 08/30/2024
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052841376
- Enrollment ID: O20250214002818
Medical Identifiers
Medical identifiers for Pivotal Health And Rehab Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720812670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (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.
Pivotal Health And Rehab Llc acts as a billing entity for following providers:
| Provider Name | Ryan Bowers |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1679899488
PECOS PAC ID: 6002096658
Enrollment ID: I20110214000842 |
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| Provider Name | John Evans Stavrakos |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1063426724
PECOS PAC ID: 3274563440
Enrollment ID: I20161003000443 |
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| Provider Name | Angelina Dow |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1376137745
PECOS PAC ID: 2961891999
Enrollment ID: I20211113000041 |
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| Provider Name | Emily Jo Ferguson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1578157996
PECOS PAC ID: 0648669564
Enrollment ID: I20211116000669 |
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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. Pivotal Health And Rehab 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 |
|---|
Pivotal Health And Rehab Llc
Po Box 8,
Lexington, SC 29071-0008
Ph: (803) 254-4699 | Pivotal Health And Rehab Llc
120 Highland Center Dr,
Columbia, SC 29203-9127
Ph: (803) 254-4699 |
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