Spine And Wellness Medical Group Pllc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Pahrump, Nevada. Their current practice location is
2780 Homestead Rd Ste 105, Pahrump, Nevada. You can reach out to their office (for appointments etc.) via phone at
(775) 727-7959.
Spine And Wellness Medical Group Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Spine And Wellness Medical Group Pllc
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 1245008952.
Healthcare Provider's Profile
| Full Name | Spine And Wellness Medical Group Pllc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2780 Homestead Rd Ste 105, Pahrump, Nevada |
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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: 1245008952
- Provider Enumeration Date: 12/13/2023
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254875255
- Enrollment ID: O20240702000345
Medical Identifiers
Medical identifiers for Spine And Wellness Medical Group Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245008952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (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.
Spine And Wellness Medical Group Pllc acts as a billing entity for following providers:
| Provider Name | Creig L Christensen |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1245646595
PECOS PAC ID: 6204127327
Enrollment ID: I20160622001869 |
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| Provider Name | Rachel M Saenz |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1649622291
PECOS PAC ID: 9537448915
Enrollment ID: I20161108002376 |
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| Provider Name | Reuben Thaker |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1881890432
PECOS PAC ID: 1658438478
Enrollment ID: I20190425000157 |
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| Provider Name | Blake Prall |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1457836348
PECOS PAC ID: 0244665933
Enrollment ID: I20200128000730 |
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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. Spine And Wellness Medical Group Pllc 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 |
|---|
Spine And Wellness Medical Group Pllc
2780 Homestead Rd Ste 105,
Pahrump, NV 89048-5464
Ph: (775) 727-7959 | Spine And Wellness Medical Group Pllc
2780 Homestead Rd Ste 105,
Pahrump, NV 89048-5464
Ph: (775) 727-7959 |
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