Wound Center Inc is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" provider in Beverly Hills, California. Their current practice location is
250 N Robertson Blvd Ste 104a, Beverly Hills, California. You can reach out to their office (for appointments etc.) via phone at
(310) 919-4179.
Wound Center Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Wound Center 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 1174362818.
Healthcare Provider's Profile
| Full Name | Wound Center Inc |
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| Type | Facility |
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| Speciality | Surgery - Plastic And Reconstructive Surgery |
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| Location | 250 N Robertson Blvd Ste 104a, Beverly Hills, California |
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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: 1174362818
- Provider Enumeration Date: 05/22/2024
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870030141
- Enrollment ID: O20240805000986
Medical Identifiers
Medical identifiers for Wound Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174362818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | (* (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.
Wound Center Inc acts as a billing entity for following providers:
| Provider Name | Som Kohanzadeh |
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| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
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| Provider Identifiers | NPI Number: 1952575342
PECOS PAC ID: 8123199601
Enrollment ID: I20080611000821 |
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| Provider Name | Helen Shnol |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1295258366
PECOS PAC ID: 4880025782
Enrollment ID: I20220811000240 |
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| Provider Name | Wade T Chimerofsky |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1174018287
PECOS PAC ID: 4981939980
Enrollment ID: I20240130000889 |
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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. Wound Center 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 |
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Wound Center Inc
9663 Santa Monica Blvd # 1151,
Beverly Hills, CA 90210-4303
Ph: (103) 919-4179 | Wound Center Inc
250 N Robertson Blvd Ste 104a,
Beverly Hills, CA 90211-1767
Ph: (310) 919-4179 |
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