Back On Track, Inc is a
Internal Medicine based in Bogalusa, Louisiana. Back On Track, Inc is licensed to practice in Louisiana (license number MD009648) and their current practice location is
528 Avenue F, Bogalusa, Louisiana. It can be reached at their office (for appointments etc.) via phone at
(985) 735-1112.
NPI number for Back On Track, Inc is 1578743225 and their current mailing address is 528 Avenue F, Bogalusa, Louisiana. Back On Track, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1578743225.
Healthcare Provider's Profile
Full Name | Back On Track, Inc |
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Type | Facility |
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Speciality | Internal Medicine |
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Location | 528 Avenue F, Bogalusa, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578743225
- Provider Enumeration Date: 11/10/2007
- Last Update Date: 01/23/2012
Medical Identifiers
Medical identifiers for Back On Track, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578743225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 1416 (Louisiana) | Secondary |
207R00000X | Internal Medicine | MD009648 (Louisiana) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (Louisiana) | Secondary |
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. Back On Track, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Back On Track, Inc 528 Avenue F, Bogalusa, LA 70427-3636 Ph: (985) 735-1112 | Back On Track, Inc 528 Avenue F, Bogalusa, LA 70427-3636 Ph: (985) 735-1112 |
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