Advantage Medical Group Llc is a medicare enrolled "General Practice" provider in Lawrence, Kansas. Their current practice location is
1104 E 23rd St, Lawrence, Kansas. You can reach out to their office (for appointments etc.) via phone at
(785) 749-0130.
Advantage Medical Group Llc is licensed to practice in Kansas (license number 424928) and it also participates in the medicare program. Advantage Medical Group 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 1922060128.
Healthcare Provider's Profile
| Full Name | Advantage Medical Group Llc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 1104 E 23rd St, Lawrence, Kansas |
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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: 1922060128
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 11/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 7113984048
- Enrollment ID: O20041213000704
Medical Identifiers
Medical identifiers for Advantage Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922060128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | BRA0103693 (Kansas) | Secondary |
| 208D00000X | General Practice | 424928 (Kansas) | Primary |
| 208D00000X | General Practice | 0428304 (Kansas) | Secondary |
| 208D00000X | General Practice | 17903 (Kansas) | Secondary |
| 208D00000X | General Practice | 430567 (Kansas) | Secondary |
| 367A00000X | Advanced Practice Midwife | 64063 (Kansas) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Advantage Medical Group Llc acts as a billing entity for following providers:
| Provider Name | Douglas B Knox |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1043212293
PECOS PAC ID: 3870489222
Enrollment ID: I20040503000543 |
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| Provider Name | James T Brady |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1831142694
PECOS PAC ID: 6800853730
Enrollment ID: I20041215000844 |
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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. Advantage Medical Group 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 |
|---|
Advantage Medical Group Llc
1104 E 23rd St,
Lawrence, KS 66046-5004
Ph: (785) 749-0130 | Advantage Medical Group Llc
1104 E 23rd St,
Lawrence, KS 66046-5004
Ph: (785) 749-0130 |
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