Soaring Mind, Inc. is a
Specialist based in Fort Wayne, Indiana. Soaring Mind, Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
6507 Constitution Dr, Fort Wayne, Indiana. It can be reached at their office (for appointments etc.) via phone at
(260) 271-4650.
NPI number for Soaring Mind, Inc. is 1477910479 and their current mailing address is 6507 Constitution Dr, Fort Wayne, Indiana. Soaring Mind, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477910479.
Healthcare Provider's Profile
| Full Name | Soaring Mind, Inc. |
|---|
| Type | Facility |
|---|
| Speciality | Specialist |
|---|
| Location | 6507 Constitution Dr, Fort Wayne, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477910479
- Provider Enumeration Date: 01/21/2016
- Last Update Date: 01/21/2016
Medical Identifiers
Medical identifiers for Soaring Mind, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477910479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225500000X | Specialist/technologist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 31000861A (Indiana) | Secondary |
| 235Z00000X | Speech-language Pathologist | 22004769A (Indiana) | Secondary |
| 174400000X | Specialist | (* (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. Soaring Mind, Inc. 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 |
|---|
Soaring Mind, Inc.
6507 Constitution Dr,
Fort Wayne, IN 46804-1551
Ph: (260) 271-4650 | Soaring Mind, Inc.
6507 Constitution Dr,
Fort Wayne, IN 46804-1551
Ph: (260) 271-4650 |
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