Eastern Shore Orthopaedic Center, P.c. is a medicare enrolled "Orthopaedic Surgery" provider in Fairhope, Alabama. Their current practice location is
912 Plantation Blvd, Fairhope, Alabama. You can reach out to their office (for appointments etc.) via phone at
(251) 928-4033.
Eastern Shore Orthopaedic Center, P.c. is licensed to practice in Alabama (license number 11349) and it also participates in the medicare program. Eastern Shore Orthopaedic Center, P.c.
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 1942408729.
Healthcare Provider's Profile
| Full Name | Eastern Shore Orthopaedic Center, P.c. |
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| Type | Facility |
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| Speciality | Orthopaedic Surgery |
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| Location | 912 Plantation Blvd, Fairhope, Alabama |
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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: 1942408729
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 01/13/2009
Medicare PECOS Information:
- PECOS PAC ID: 1355412420
- Enrollment ID: O20080617000414
Medical Identifiers
Medical identifiers for Eastern Shore Orthopaedic Center, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942408729 | NPI | - | NPPES |
| 529400020 | Medicaid | AL | |
| 51088164 | Other | AL | BCBS |
| 51094156 | Other | AL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PTH3108 (Alabama) | Secondary |
| 207X00000X | Orthopaedic Surgery | 11349 (Alabama) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eastern Shore Orthopaedic Center, P.c. acts as a billing entity for following providers:
| Provider Name | Jennifer M Davis |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1427025089
PECOS PAC ID: 2062583131
Enrollment ID: I20080617000461 |
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| Provider Name | John A Rodriguez-feo |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1083681274
PECOS PAC ID: 4688745755
Enrollment ID: I20080626000385 |
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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. Eastern Shore Orthopaedic Center, P.c. 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 |
|---|
Eastern Shore Orthopaedic Center, P.c.
Po Box 1212,
Fairhope, AL 36533-1212
Ph: (251) 928-4033 | Eastern Shore Orthopaedic Center, P.c.
912 Plantation Blvd,
Fairhope, AL 36532-2952
Ph: (251) 928-4033 |
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