Advanced Spine And Rehab Center Pc is a medicare enrolled "Family Medicine" provider in Cedar Rapids, Iowa. Their current practice location is
4205 Glass Rd Ne, Cedar Rapids, Iowa. You can reach out to their office (for appointments etc.) via phone at
(319) 294-0094.
Advanced Spine And Rehab Center Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advanced Spine And Rehab Center Pc
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 1386785293.
Healthcare Provider's Profile
| Full Name | Advanced Spine And Rehab Center Pc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 4205 Glass Rd Ne, Cedar Rapids, Iowa |
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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: 1386785293
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 02/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 8820190069
- Enrollment ID: O20070219000671
Medical Identifiers
Medical identifiers for Advanced Spine And Rehab Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386785293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 6916 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | 27216 (Iowa) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | 110073 (Iowa) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Advanced Spine And Rehab Center Pc acts as a billing entity for following providers:
| Provider Name | David Kent Reeves |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1720149149
PECOS PAC ID: 9931017274
Enrollment ID: I20040315000768 |
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| Provider Name | Timothy Miller |
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| Provider Type | Practitioner - Interventional Pain Management |
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| Provider Identifiers | NPI Number: 1265439947
PECOS PAC ID: 6608833140
Enrollment ID: I20041215000976 |
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| Provider Name | Jeffrey Alan Mitchell |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1306873328
PECOS PAC ID: 4385545367
Enrollment ID: I20070219000662 |
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| Provider Name | Michelle A Donohue |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1306210729
PECOS PAC ID: 7113226127
Enrollment ID: I20160426000747 |
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| Provider Name | Megan E Gilmere |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1679240972
PECOS PAC ID: 8224424460
Enrollment ID: I20220415000284 |
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| Provider Name | Kara E Gillis |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1790434520
PECOS PAC ID: 2567858335
Enrollment ID: I20230322001228 |
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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. Advanced Spine And Rehab Center Pc 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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Advanced Spine And Rehab Center Pc
4205 Glass Rd Ne,
Cedar Rapids, IA 52402-2514
Ph: (319) 294-0094 | Advanced Spine And Rehab Center Pc
4205 Glass Rd Ne,
Cedar Rapids, IA 52402-2514
Ph: (319) 294-0094 |
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