Advanced Wellness And Therapy Center Llc is a medicare enrolled "Nurse Practitioner - Family" provider in Bayonne, New Jersey. Their current practice location is
777 Avenue C, Bayonne, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 436-0911.
Advanced Wellness And Therapy Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advanced Wellness And Therapy 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 1619129202.
Healthcare Provider's Profile
| Full Name | Advanced Wellness And Therapy Center Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 777 Avenue C, Bayonne, New Jersey |
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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: 1619129202
- Provider Enumeration Date: 10/15/2008
- Last Update Date: 11/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749343010
- Enrollment ID: O20090113000281
Medical Identifiers
Medical identifiers for Advanced Wellness And Therapy Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619129202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (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.
Advanced Wellness And Therapy Center Llc acts as a billing entity for following providers:
| Provider Name | David Beck |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1992883698
PECOS PAC ID: 1153369681
Enrollment ID: I20050425000386 |
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| Provider Name | Jonathan T Mingoia |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1962462606
PECOS PAC ID: 5193733731
Enrollment ID: I20060323000609 |
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| Provider Name | Jonathan T Mingoia |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1962462606
PECOS PAC ID: 5193733731
Enrollment ID: I20220307000323 |
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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 Wellness And Therapy 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 |
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Advanced Wellness And Therapy Center Llc
777 Avenue C,
Bayonne, NJ 07002-2844
Ph: (201) 436-0911 | Advanced Wellness And Therapy Center Llc
777 Avenue C,
Bayonne, NJ 07002
Ph: (201) 436-0911 |
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