Holy Cross Diabetes Prevention Program is a medicare enrolled "Health & Wellness Coach" provider in Oakland Park, Florida. Their current practice location is
5601 N Dixie Hwy, Oakland Park, Florida. You can reach out to their office (for appointments etc.) via phone at
(954) 771-8000.
Holy Cross Diabetes Prevention Program is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Holy Cross Diabetes Prevention Program
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 1063207595.
Healthcare Provider's Profile
| Full Name | Holy Cross Diabetes Prevention Program |
|---|
| Type | Facility |
|---|
| Speciality | Health & Wellness Coach |
|---|
| Location | 5601 N Dixie Hwy, Oakland Park, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063207595
- Provider Enumeration Date: 04/14/2025
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850298365
- Enrollment ID: O20251212003159
Medical Identifiers
Medical identifiers for Holy Cross Diabetes Prevention Program such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063207595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 163WD0400X | Registered Nurse - Diabetes Educator | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Primary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
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. Holy Cross Diabetes Prevention Program 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 |
Holy Cross Diabetes Prevention Program Po Box 531853, Atlanta, GA 30353-1853 Ph: (954) 351-4702 | Holy Cross Diabetes Prevention Program 5601 N Dixie Hwy, Oakland Park, FL 33334-4148 Ph: (954) 771-8000 |
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