Active Life Medical & Wellness is a medicare enrolled "Family Medicine" provider in Bakersfield, California. Their current practice location is
3015 Calloway Dr Ste D6, Bakersfield, California. You can reach out to their office (for appointments etc.) via phone at
(661) 834-1544.
Active Life Medical & Wellness is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Active Life Medical & Wellness
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 1144855461.
Healthcare Provider's Profile
| Full Name | Active Life Medical & Wellness |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 3015 Calloway Dr Ste D6, Bakersfield, 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: 1144855461
- Provider Enumeration Date: 03/06/2020
- Last Update Date: 03/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 7810339934
- Enrollment ID: O20240521002778
Medical Identifiers
Medical identifiers for Active Life Medical & Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144855461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (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.
Active Life Medical & Wellness acts as a billing entity for following providers:
| Provider Name | Ronald J Ostrom |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1730169855
PECOS PAC ID: 5597652404
Enrollment ID: I20040303001088 |
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| Provider Name | Katrina L Price |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1982352423
PECOS PAC ID: 1052781218
Enrollment ID: I20230104000593 |
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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. Active Life Medical & Wellness 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 |
|---|
Active Life Medical & Wellness
3015 Calloway Dr Ste D6,
Bakersfield, CA 93312-2657
Ph: (661) 834-1544 | Active Life Medical & Wellness
3015 Calloway Dr Ste D6,
Bakersfield, CA 93312-2657
Ph: (661) 834-1544 |
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