Advance Aba , Llc is a medicare enrolled "Community/behavioral Health" provider in Dearborn, Michigan. Their current practice location is
2021 Monroe St, Dearborn, Michigan. You can reach out to their office (for appointments etc.) via phone at
(517) 245-4778.
Advance Aba , Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advance Aba , 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 1548814551.
Healthcare Provider's Profile
| Full Name | Advance Aba , Llc |
|---|
| Type | Facility |
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| Speciality | Community/behavioral Health |
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| Location | 2021 Monroe St, Dearborn, Michigan |
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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: 1548814551
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507249315
- Enrollment ID: O20220811001457
Medical Identifiers
Medical identifiers for Advance Aba , Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548814551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (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. Advance Aba , 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 |
Advance Aba , Llc Po Box 12279, Lansing, MI 48901-2279 Ph: (517) 245-4778 | Advance Aba , Llc 2021 Monroe St, Dearborn, MI 48124-2926 Ph: (517) 245-4778 |
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