Vineyard Complementary Medicine, Inc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Edgartown, Massachusetts. Their current practice location is
238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, Massachusetts. You can reach out to their office (for appointments etc.) via phone at
(508) 693-3800.
Vineyard Complementary Medicine, Inc is licensed to practice in Massachusetts (license number 687) and it also participates in the medicare program. Vineyard Complementary Medicine, 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 1053490896.
Healthcare Provider's Profile
Full Name | Vineyard Complementary Medicine, Inc |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 238 Edgartown Vineyard Haven Road, Edgartown, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053490896
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 12/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860435005
- Enrollment ID: O20050608000387
Medical Identifiers
Medical identifiers for Vineyard Complementary Medicine, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053490896 | NPI | - | NPPES |
Y61445 | Other | MA | BCBS OF MA |
AA52541 | Other | | HPHC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 687 (Massachusetts) | Primary |
261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Vineyard Complementary Medicine, Inc acts as a billing entity for following providers:
Provider Name | Susan A Sanford |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1104905934 PECOS PAC ID: 1759324999 Enrollment ID: I20050610000214 |
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Provider Name | Zachary Gabor |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1417325861 PECOS PAC ID: 3971813767 Enrollment ID: I20160505000282 |
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Provider Name | Elizabeth Ann Zeller |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1861024143 PECOS PAC ID: 4183051295 Enrollment ID: I20200303000867 |
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Provider Name | Madison L Horner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1215521836 PECOS PAC ID: 7719396969 Enrollment ID: I20210429001937 |
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Provider Name | Lauren Vukota |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1720746969 PECOS PAC ID: 5294120986 Enrollment ID: I20230913003311 |
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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. Vineyard Complementary Medicine, 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 |
Vineyard Complementary Medicine, Inc Po Box 1760, Edgartown, MA 02539-1760 Ph: (508) 693-3800 | Vineyard Complementary Medicine, Inc 238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, MA 02539-6932 Ph: (508) 693-3800 |
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