Headacheawaymd is a medicare enrolled "Psychiatry & Neurology - Neurology" provider in San Jose, California. Their current practice location is
2440 Samaritan Dr Ste 2, San Jose, California. You can reach out to their office (for appointments etc.) via phone at
(408) 706-5500.
Headacheawaymd is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Headacheawaymd
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 1518540772.
Healthcare Provider's Profile
| Full Name | Headacheawaymd |
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| Type | Facility |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 2440 Samaritan Dr Ste 2, San Jose, 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: 1518540772
- Provider Enumeration Date: 05/04/2021
- Last Update Date: 05/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739564246
- Enrollment ID: O20220920002447
Medical Identifiers
Medical identifiers for Headacheawaymd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518540772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (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.
Headacheawaymd acts as a billing entity for following providers:
| Provider Name | Harjasleen K Walia |
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| Provider Type | Practitioner - Neurology |
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| Provider Identifiers | NPI Number: 1356786495
PECOS PAC ID: 9739518796
Enrollment ID: I20200326003580 |
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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. Headacheawaymd 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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Headacheawaymd
5706 Brio Rd,
Dublin, CA 94568-4785
Ph: (909) 997-1653 | Headacheawaymd
2440 Samaritan Dr Ste 2,
San Jose, CA 95124-3911
Ph: (408) 706-5500 |
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