Pure Health Physical Medicine, Llc is a medicare enrolled "Family Medicine" provider in Aurora, Illinois. Their current practice location is
2116 W Galena Blvd, Suite 112, Aurora, Illinois. You can reach out to their office (for appointments etc.) via phone at
(630) 897-1895.
Pure Health Physical Medicine, Llc is licensed to practice in Illinois (license number 036099986) and it also participates in the medicare program. Pure Health 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 1134466162.
Healthcare Provider's Profile
| Full Name | Pure Health Physical Medicine, Llc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 2116 W Galena Blvd, Aurora, Illinois |
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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: 1134466162
- Provider Enumeration Date: 01/10/2013
- Last Update Date: 10/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 8426296005
- Enrollment ID: O20130522000117
Medical Identifiers
Medical identifiers for Pure Health Physical Medicine, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134466162 | NPI | - | NPPES |
| IL8252 | Other | IL | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 038008765 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038011191 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038011696 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036099986 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209010369 (Illinois) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pure Health Physical Medicine, Llc acts as a billing entity for following providers:
| Provider Name | Volkan Sumer |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1730185125
PECOS PAC ID: 0042282634
Enrollment ID: I20040819000054 |
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| Provider Name | Desiree P Acosta |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1336684422
PECOS PAC ID: 3173804846
Enrollment ID: I20170111003660 |
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| Provider Name | John V Konopelski |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1558489393
PECOS PAC ID: 2769733534
Enrollment ID: I20180919000063 |
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| Provider Name | Kevin Donald Allibone |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1174003511
PECOS PAC ID: 1759791429
Enrollment ID: I20201109000916 |
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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. Pure Health 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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Pure Health Physical Medicine, Llc
2116 W Galena Blvd, Suite 112,
Aurora, IL 60506-3533
Ph: (630) 897-1895 | Pure Health Physical Medicine, Llc
2116 W Galena Blvd, Suite 112,
Aurora, IL 60506-3533
Ph: (630) 897-1895 |
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