Innovative Pediatrics Llc is a
Early Intervention Provider Agency based in Garden City, Missouri. Innovative Pediatrics Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
103 Sharon Ln, Garden City, Missouri. It can be reached at their office (for appointments etc.) via phone at
(913) 961-7514.
NPI number for Innovative Pediatrics Llc is 1699525576 and their current mailing address is Po Box 756, Harrisonville, Missouri. Innovative Pediatrics Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699525576.
Healthcare Provider's Profile
| Full Name | Innovative Pediatrics Llc |
|---|
| Type | Facility |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 103 Sharon Ln, Garden City, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699525576
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medical Identifiers
Medical identifiers for Innovative Pediatrics Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699525576 | NPI | - | NPPES |
| 1194588970 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 2355S0801X | Specialist/technologist - Speech-language Assistant | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 251300000X | Local Education Agency (lea) | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (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. Innovative Pediatrics Llc 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 |
|---|
Innovative Pediatrics Llc
Po Box 756,
Harrisonville, MO 64701-0756
Ph: (913) 961-7514 | Innovative Pediatrics Llc
103 Sharon Ln,
Garden City, MO 64747-9201
Ph: (913) 961-7514 |
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