West Georgia Regenerative Medicine Llc is a medicare enrolled "General Practice" provider in Columbus, Georgia. Their current practice location is
3624 Edgewood Rd Ste B, Columbus, Georgia. You can reach out to their office (for appointments etc.) via phone at
(762) 204-4103.
West Georgia Regenerative Medicine Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. West Georgia Regenerative Medicine 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 1629555172.
Healthcare Provider's Profile
| Full Name | West Georgia Regenerative Medicine Llc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 3624 Edgewood Rd Ste B, Columbus, 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: 1629555172
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 07/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 6507116589
- Enrollment ID: O20180912003124
Medical Identifiers
Medical identifiers for West Georgia Regenerative Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629555172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (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.
West Georgia Regenerative Medicine Llc acts as a billing entity for following providers:
| Provider Name | Najeeb I Siddique |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1558313726
PECOS PAC ID: 2961307103
Enrollment ID: I20041215000975 |
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| Provider Name | Jorge O Pabia |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1316016298
PECOS PAC ID: 7911071881
Enrollment ID: I20140312000866 |
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| Provider Name | Maegan Bell Huff |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1487177168
PECOS PAC ID: 5496011777
Enrollment ID: I20171102003206 |
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| Provider Name | Marissa Sellers |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1275015083
PECOS PAC ID: 6305199696
Enrollment ID: I20181103000017 |
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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. West Georgia Regenerative Medicine 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 |
|---|
West Georgia Regenerative Medicine Llc
3624 Edgewood Rd Ste B,
Columbus, GA 31907-8238
Ph: (762) 204-4103 | West Georgia Regenerative Medicine Llc
3624 Edgewood Rd Ste B,
Columbus, GA 31907
Ph: (762) 204-4103 |
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