Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio is a medicare enrolled "Physical Therapist" provider in Santa Monica, California. Their current practice location is
1821 Wilshire Blvd, Suite 605, Santa Monica, California. You can reach out to their office (for appointments etc.) via phone at
(310) 453-8668.
Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio is licensed to practice in California (license number ) and it also participates in the medicare program. Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio
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 1356367874.
Healthcare Provider's Profile
| Full Name | Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 1821 Wilshire Blvd, Santa Monica, 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: 1356367874
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 04/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 5991741423
- Enrollment ID: O20090227000038
Medical Identifiers
Medical identifiers for Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356367874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | (California) | Secondary |
| 225100000X | Physical Therapist | (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio acts as a billing entity for following providers:
| Provider Name | Derek Plonka |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1912172438
PECOS PAC ID: 1355387887
Enrollment ID: I20050725000245 |
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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. Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio 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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Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio
1821 Wilshire Blvd, Suite 605,
Santa Monica, CA 90403
Ph: (310) 453-8668 | Insight Wellness Clinic Acupuncture Physical Therapy Herbal Formulatio
1821 Wilshire Blvd, Suite 605,
Santa Monica, CA 90403
Ph: (310) 453-8668 |
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