Western Reserve Professional Group Inc is a
Physical Medicine & Rehabilitation - Pain Medicine based in Kent, Ohio. Western Reserve Professional Group Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
307 West Main Street, Suite C, Kent, Ohio. It can be reached at their office (for appointments etc.) via phone at
(330) 677-3628.
NPI number for Western Reserve Professional Group Inc is 1699986620 and their current mailing address is Po Box 715479, Columbus, Ohio. Western Reserve Professional Group Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699986620.
Healthcare Provider's Profile
| Full Name | Western Reserve Professional Group Inc |
|---|
| Type | Facility |
|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
|---|
| Location | 307 West Main Street, Kent, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699986620
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 01/15/2014
Medical Identifiers
Medical identifiers for Western Reserve Professional Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699986620 | NPI | - | NPPES |
| 0251070 | Medicaid | OH | |
| 2406275 | Medicaid | OH | |
| 2675921 | Medicaid | OH | |
| 0926887 | Medicaid | OH | |
| 2082866 | Medicaid | OH | |
| 4085673 | Medicaid | OH | |
| 2311331 | Medicaid | OH | |
| 2493038 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NX0800X | Chiropractor - Orthopedic | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
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. Western Reserve Professional Group Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Western Reserve Professional Group Inc
Po Box 715479,
Columbus, OH 43271-5479
Ph: (330) 677-3628 | Western Reserve Professional Group Inc
307 West Main Street, Suite C,
Kent, OH 44240-2400
Ph: (330) 677-3628 |
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