Active Healthcare Medical Group Inc is a medicare enrolled "Family Medicine" provider in West Covina, California. Their current practice location is
512 S Glendora Ave, West Covina, California. You can reach out to their office (for appointments etc.) via phone at
(626) 337-2888.
Active Healthcare Medical Group Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Active Healthcare Medical Group 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 1699955575.
Healthcare Provider's Profile
| Full Name | Active Healthcare Medical Group Inc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 512 S Glendora Ave, West Covina, 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: 1699955575
- Provider Enumeration Date: 11/08/2007
- Last Update Date: 03/11/2009
Medicare PECOS Information:
- PECOS PAC ID: 2466415823
- Enrollment ID: O20041105001040
Medical Identifiers
Medical identifiers for Active Healthcare Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699955575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (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.
Active Healthcare Medical Group Inc acts as a billing entity for following providers:
| Provider Name | Miguel I Domingo |
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| Provider Type | Practitioner - Pediatric Medicine |
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| Provider Identifiers | NPI Number: 1538248166
PECOS PAC ID: 8628031093
Enrollment ID: I20041105001069 |
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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. Active Healthcare Medical Group 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 |
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Active Healthcare Medical Group Inc
512 S Glendora Ave,
West Covina, CA 91790-3022
Ph: (626) 337-2888 | Active Healthcare Medical Group Inc
512 S Glendora Ave,
West Covina, CA 91790-3022
Ph: (626) 337-2888 |
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