Atlas Holistic Health Pllc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Grapevine, Texas. Their current practice location is
1244 William D Tate Ave, Grapevine, Texas. You can reach out to their office (for appointments etc.) via phone at
(817) 416-9800.
Atlas Holistic Health Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Atlas Holistic Health Pllc
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 1134903719.
Healthcare Provider's Profile
| Full Name | Atlas Holistic Health Pllc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1244 William D Tate Ave, Grapevine, Texas |
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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: 1134903719
- Provider Enumeration Date: 08/23/2023
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274989512
- Enrollment ID: O20231024000534
Medical Identifiers
Medical identifiers for Atlas Holistic Health Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134903719 | 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)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Atlas Holistic Health Pllc acts as a billing entity for following providers:
| Provider Name | Dean L Allen |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1679564025
PECOS PAC ID: 5395735427
Enrollment ID: I20040512001154 |
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| Provider Name | Randee M Poortvliet |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1770691891
PECOS PAC ID: 0749259729
Enrollment ID: I20040929000075 |
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| Provider Name | Gabriella O Udabor |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1063769891
PECOS PAC ID: 0244472066
Enrollment ID: I20130807000710 |
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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. Atlas Holistic Health Pllc 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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Atlas Holistic Health Pllc
Po Box 1326,
Grapevine, TX 76099-1326
Ph: () - | Atlas Holistic Health Pllc
1244 William D Tate Ave,
Grapevine, TX 76051-4030
Ph: (817) 416-9800 |
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