Ageless Athletes is a
Durable Medical Equipment & Medical Supplies based in Southfield, Michigan. Ageless Athletes is licensed to practice in * (Not Available) (license number ) and their current practice location is
2000 Town Ctr Ste 1900, Southfield, Michigan. It can be reached at their office (for appointments etc.) via phone at
(248) 565-4024.
NPI number for Ageless Athletes is 1588780456 and their current mailing address is Po Box 781, Southfield, Michigan. Ageless Athletes
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1588780456.
Healthcare Provider's Profile
| Full Name | Ageless Athletes |
|---|
| Type | Facility |
|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 2000 Town Ctr Ste 1900, Southfield, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588780456
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 02/15/2008
Medical Identifiers
Medical identifiers for Ageless Athletes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588780456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0000X | Podiatrist - Sports Medicine | 001148 (Michigan) | Secondary |
| 174400000X | Specialist | 001148 (Michigan) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 001148 (Michigan) | Secondary |
| 335E00000X | Prosthetic/orthotic Supplier | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (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. Ageless Athletes 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 |
|---|
Ageless Athletes
Po Box 781,
Southfield, MI 48037-0781
Ph: (248) 565-4024 | Ageless Athletes
2000 Town Ctr Ste 1900,
Southfield, MI 48075-1152
Ph: (248) 565-4024 |
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