St. Mary Spine And Sport Injuries Rehab is a medicare enrolled "Internal Medicine" provider in Bloomingdale, Georgia. Their current practice location is
502 E Us Highway 80 Ste D, Bloomingdale, Georgia. You can reach out to their office (for appointments etc.) via phone at
(912) 999-7275.
St. Mary Spine And Sport Injuries Rehab is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. St. Mary Spine And Sport Injuries Rehab
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 1992479596.
Healthcare Provider's Profile
| Full Name | St. Mary Spine And Sport Injuries Rehab |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 502 E Us Highway 80 Ste D, Bloomingdale, Georgia |
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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: 1992479596
- Provider Enumeration Date: 08/06/2021
- Last Update Date: 05/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456757889
- Enrollment ID: O20211201002888
Medical Identifiers
Medical identifiers for St. Mary Spine And Sport Injuries Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992479596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207R00000X | Internal 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.
St. Mary Spine And Sport Injuries Rehab acts as a billing entity for following providers:
| Provider Name | Noha Soliman |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1023066206
PECOS PAC ID: 5395773899
Enrollment ID: I20170620000584 |
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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. St. Mary Spine And Sport Injuries Rehab 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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St. Mary Spine And Sport Injuries Rehab
502 E Us Highway 80 Ste D,
Bloomingdale, GA 31302-9356
Ph: () - | St. Mary Spine And Sport Injuries Rehab
502 E Us Highway 80 Ste D,
Bloomingdale, GA 31302-9356
Ph: (912) 999-7275 |
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