Grand Oak Healthcare is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Athens, Georgia. Their current practice location is
2425 W Broad St, Athens, Georgia. You can reach out to their office (for appointments etc.) via phone at
(706) 543-2584.
Grand Oak Healthcare is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Grand Oak Healthcare
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 1619238805.
Healthcare Provider's Profile
| Full Name | Grand Oak Healthcare |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2425 W Broad St, Athens, Georgia |
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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: 1619238805
- Provider Enumeration Date: 06/04/2012
- Last Update Date: 07/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921264367
- Enrollment ID: O20120730000318
Medical Identifiers
Medical identifiers for Grand Oak Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619238805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 7421 (Georgia) | 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.
Grand Oak Healthcare acts as a billing entity for following providers:
| Provider Name | Steven M Thacker |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1598837296 PECOS PAC ID: 3678677572 Enrollment ID: I20111227000541 |
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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. Grand Oak Healthcare 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 |
Grand Oak Healthcare 2425 W Broad St, Athens, GA 30606-3415 Ph: (706) 543-2584 | Grand Oak Healthcare 2425 W Broad St, Athens, GA 30606-3415 Ph: (706) 543-2584 |
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