Omni Pain Clinic is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" provider in Riverside, California. Their current practice location is
6485 Day St Ste 305, Riverside, California. You can reach out to their office (for appointments etc.) via phone at
(951) 413-6433.
Omni Pain Clinic is licensed to practice in California (license number A67133) and it also participates in the medicare program. Omni Pain Clinic
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 1154412963.
Healthcare Provider's Profile
| Full Name | Omni Pain Clinic |
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| Type | Facility |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 6485 Day St Ste 305, Riverside, 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: 1154412963
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 09/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 4789760935
- Enrollment ID: O20080327000690
Medical Identifiers
Medical identifiers for Omni Pain Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154412963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | (California) | Secondary |
| 207L00000X | Anesthesiology | A67133 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A67133 (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.
Omni Pain Clinic acts as a billing entity for following providers:
| Provider Name | Augusta U Ikhisemojie |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1457389041
PECOS PAC ID: 3173590742
Enrollment ID: I20040913001363 |
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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. Omni Pain Clinic 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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Omni Pain Clinic
Po Box 60790,
Pasadena, CA 91116-6790
Ph: (626) 795-6596 | Omni Pain Clinic
6485 Day St Ste 305,
Riverside, CA 92507-0926
Ph: (951) 413-6433 |
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