Premier Rehab Inc is a medicare enrolled "Clinic/center - Rehabilitation" provider in Deland, Florida. Their current practice location is
911 N Spring Garden Ave, Deland, Florida. You can reach out to their office (for appointments etc.) via phone at
(386) 736-3108.
Premier Rehab Inc is licensed to practice in Florida (license number ) and it also participates in the medicare program. Premier Rehab 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 1467490136.
Healthcare Provider's Profile
| Full Name | Premier Rehab Inc |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 911 N Spring Garden Ave, Deland, Florida |
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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: 1467490136
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759506157
- Enrollment ID: O20140626002327
Medical Identifiers
Medical identifiers for Premier Rehab Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467490136 | NPI | - | NPPES |
| 882094500 | Medicaid | FL | |
| 681664996 | Medicaid | FL | |
| R5L | Other | FL | BLUE CROSS & BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 2674 (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (Florida) | 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. Premier Rehab 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 |
|---|
Premier Rehab Inc
911 N Spring Garden Ave,
Deland, FL 32720-2560
Ph: (386) 736-3108 | Premier Rehab Inc
911 N Spring Garden Ave,
Deland, FL 32720
Ph: (386) 736-3108 |
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