Summit Health Group Inc is a medicare enrolled "Family Medicine" provider in Thousand Oaks, California. Their current practice location is
55 Rolling Oaks Dr, Ste 100, Thousand Oaks, California. You can reach out to their office (for appointments etc.) via phone at
(805) 499-4446.
Summit Health Group Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Summit Health Group Inc
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 1497125868.
Healthcare Provider's Profile
| Full Name | Summit Health Group Inc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 55 Rolling Oaks Dr, Thousand Oaks, California |
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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: 1497125868
- Provider Enumeration Date: 09/29/2015
- Last Update Date: 09/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 4587967575
- Enrollment ID: O20160126000564
Medical Identifiers
Medical identifiers for Summit Health Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497125868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Summit Health Group Inc acts as a billing entity for following providers:
| Provider Name | Shay Shani |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1467511220
PECOS PAC ID: 2365339397
Enrollment ID: I20040303000547 |
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| Provider Name | Donnelly R Wilkes |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1033111836
PECOS PAC ID: 2062564933
Enrollment ID: I20090723000730 |
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| Provider Name | Munira Husain |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1184856460
PECOS PAC ID: 9537337357
Enrollment ID: I20110722000144 |
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| Provider Name | Joseph Lawrence Lennon |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1477588895
PECOS PAC ID: 6204971351
Enrollment ID: I20150610002416 |
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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. Summit Health Group Inc 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 |
|---|
Summit Health Group Inc
55 Rolling Oaks Dr, Ste 100,
Thousand Oaks, CA 91361-1010
Ph: (805) 499-4446 | Summit Health Group Inc
55 Rolling Oaks Dr, Ste 100,
Thousand Oaks, CA 91361-1010
Ph: (805) 499-4446 |
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