Back Pain Relief Center is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Vineland, New Jersey. Their current practice location is
1133 E Chestnut Ave, Building 2, Vineland, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(856) 690-8883.
Back Pain Relief Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Back Pain Relief Center
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 1194018788.
Healthcare Provider's Profile
| Full Name | Back Pain Relief Center |
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| Type | Facility |
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| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 1133 E Chestnut Ave, Vineland, 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: 1194018788
- Provider Enumeration Date: 05/16/2011
- Last Update Date: 07/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 4183802077
- Enrollment ID: O20110623000481
Medical Identifiers
Medical identifiers for Back Pain Relief Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194018788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NR0400X | Chiropractor - Rehabilitation | 38MC00662500 (New Jersey) | Secondary |
| 208D00000X | General Practice | 25MA07448700 (New Jersey) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (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.
Back Pain Relief Center acts as a billing entity for following providers:
| Provider Name | Raimundo Marquez |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1720172430
PECOS PAC ID: 5193787778
Enrollment ID: I20090109000298 |
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| Provider Name | Staci Avakian |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1053513465
PECOS PAC ID: 7012044043
Enrollment ID: I20100423000298 |
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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. Back Pain Relief Center 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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Back Pain Relief Center
1133 E Chestnut Ave, Building 2,
Vineland, NJ 08360-5001
Ph: (856) 690-8883 | Back Pain Relief Center
1133 E Chestnut Ave, Building 2,
Vineland, NJ 08360-5001
Ph: (856) 690-8883 |
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