Whole Body Healthcare Parkville Llc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Parkville, Maryland. Their current practice location is
1740 E Joppa Rd Ste 101, Parkville, Maryland. You can reach out to their office (for appointments etc.) via phone at
(443) 552-5552.
Whole Body Healthcare Parkville Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Whole Body Healthcare Parkville Llc
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 1578139291.
Healthcare Provider's Profile
Full Name | Whole Body Healthcare Parkville Llc |
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Type | Facility |
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Speciality | Clinic/center - Multi-specialty |
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Location | 1740 E Joppa Rd Ste 101, Parkville, Maryland |
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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: 1578139291
- Provider Enumeration Date: 06/02/2021
- Last Update Date: 06/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 8022413913
- Enrollment ID: O20210816001122
Medical Identifiers
Medical identifiers for Whole Body Healthcare Parkville Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578139291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (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.
Whole Body Healthcare Parkville Llc acts as a billing entity for following providers:
Provider Name | Karen Donaldson |
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Provider Type | Practitioner - Family Practice |
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Provider Identifiers | NPI Number: 1578569786 PECOS PAC ID: 9032189022 Enrollment ID: I20040728000172 |
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Provider Name | Michael A Dorn |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1467460394 PECOS PAC ID: 2062690928 Enrollment ID: I20110623000124 |
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Provider Name | Jed Thomas Nieves |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1336615897 PECOS PAC ID: 3779822309 Enrollment ID: I20190226002830 |
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Provider Name | Chloe Farkas |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1699357053 PECOS PAC ID: 9739584632 Enrollment ID: I20210816001666 |
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Provider Name | Emmanuella Ifeyinwa Okpah |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1245822642 PECOS PAC ID: 3375936891 Enrollment ID: I20220204002295 |
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Provider Name | Cheon Gyu Park |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1649699109 PECOS PAC ID: 7012270119 Enrollment ID: I20220207000064 |
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Provider Name | Monique Michall Samuel |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1508597444 PECOS PAC ID: 9032581889 Enrollment ID: I20230204000548 |
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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. Whole Body Healthcare Parkville Llc 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 |
Whole Body Healthcare Parkville Llc 1501 Ameshire Rd, Lutherville Timonium, MD 21093-5919 Ph: (410) 916-6888 | Whole Body Healthcare Parkville Llc 1740 E Joppa Rd Ste 101, Parkville, MD 21234-3623 Ph: (443) 552-5552 |
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