Advance Aba Care 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 Care Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advance Aba Care 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 Care Llc |
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| 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. |
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NPI Data:
- NPI Number: 1548814551
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 10/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507249315
- Enrollment ID: O20220811001457
Medical Identifiers
Medical identifiers for Advance Aba Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548814551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (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.
Advance Aba Care Llc acts as a billing entity for following providers:
| Provider Name | Heather L Guernsey |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1508510454
PECOS PAC ID: 8820471642
Enrollment ID: I20220811001662 |
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| Provider Name | Carol Woodyard |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1932848686
PECOS PAC ID: 3274997069
Enrollment ID: I20230912003703 |
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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. Advance Aba Care 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 |
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Advance Aba Care Llc
Po Box 12279,
Lansing, MI 48901-2279
Ph: (517) 245-4778 | Advance Aba Care Llc
2021 Monroe St,
Dearborn, MI 48124-2926
Ph: (517) 245-4778 |
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