Holistic Health & Detox Center, Llc is a medicare enrolled "Clinic/center - Health Service" provider in Kokomo, Indiana. Their current practice location is
2016 S Elizabeth St, Kokomo, Indiana. You can reach out to their office (for appointments etc.) via phone at
(765) 450-4776.
Holistic Health & Detox Center, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Holistic Health & Detox Center, 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 1689135964.
Healthcare Provider's Profile
| Full Name | Holistic Health & Detox Center, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Health Service |
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| Location | 2016 S Elizabeth St, Kokomo, Indiana |
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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: 1689135964
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 09/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 5890123848
- Enrollment ID: O20200325001776
Medical Identifiers
Medical identifiers for Holistic Health & Detox Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689135964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (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.
Holistic Health & Detox Center, Llc acts as a billing entity for following providers:
| Provider Name | Mika Julia Fujii |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1255742631
PECOS PAC ID: 9638506082
Enrollment ID: I20200325001994 |
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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. Holistic Health & Detox Center, 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 |
|---|
Holistic Health & Detox Center, Llc
2016 S Elizabeth St,
Kokomo, IN 46902-2430
Ph: (765) 450-4776 | Holistic Health & Detox Center, Llc
2016 S Elizabeth St,
Kokomo, IN 46902-2430
Ph: (765) 450-4776 |
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