Newgen Aesthetics & Wellness, Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Mangilao, Guam. Their current practice location is
263 Vietnam Veterans Memorial Hwy, Mangilao, Guam. You can reach out to their office (for appointments etc.) via phone at
(671) 486-5826.
Newgen Aesthetics & Wellness, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Newgen Aesthetics & Wellness, Llc
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 1467908673.
Healthcare Provider's Profile
| Full Name | Newgen Aesthetics & Wellness, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 263 Vietnam Veterans Memorial Hwy, Mangilao, Guam |
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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: 1467908673
- Provider Enumeration Date: 08/28/2016
- Last Update Date: 07/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901237098
- Enrollment ID: O20200505000634
Medical Identifiers
Medical identifiers for Newgen Aesthetics & Wellness, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467908673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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.
Newgen Aesthetics & Wellness, Llc acts as a billing entity for following providers:
| Provider Name | Leonard P Campos |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1407127871
PECOS PAC ID: 0244488831
Enrollment ID: I20200617003153 |
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| Provider Name | Sophia Brett Hansen |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1134717663
PECOS PAC ID: 0749689800
Enrollment ID: I20211222002408 |
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| Provider Name | Andrew Farrell Wiseman |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1184140097
PECOS PAC ID: 7113292285
Enrollment ID: I20220830000830 |
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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. Newgen Aesthetics & Wellness, Llc 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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Newgen Aesthetics & Wellness, Llc
Po Box 217954,
Barrigada, GU 96921-6957
Ph: (671) 735-8000 | Newgen Aesthetics & Wellness, Llc
263 Vietnam Veterans Memorial Hwy,
Mangilao, GU 96913
Ph: (671) 486-5826 |
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