Maryland Spine Rehab, Llc is a medicare enrolled "Chiropractor" provider in Dundalk, Maryland. Their current practice location is
1515 Merritt Blvd, Dundalk, Maryland. You can reach out to their office (for appointments etc.) via phone at
(410) 285-0920.
Maryland Spine Rehab, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Maryland Spine Rehab, 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 1629251830.
Healthcare Provider's Profile
Full Name | Maryland Spine Rehab, Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 1515 Merritt Blvd, Dundalk, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629251830
- Provider Enumeration Date: 12/11/2007
- Last Update Date: 01/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305870031
- Enrollment ID: O20050922000454
Medical Identifiers
Medical identifiers for Maryland Spine Rehab, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629251830 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
111NN1001X | Chiropractor - Nutrition | (* (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.
Maryland Spine Rehab, Llc acts as a billing entity for following providers:
Provider Name | Louis S Crivelli |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1629123666 PECOS PAC ID: 0840233862 Enrollment ID: I20050926000237 |
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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. Maryland Spine Rehab, 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 |
Maryland Spine Rehab, Llc Po Box 745854, Atlanta, GA 30374-5854 Ph: (410) 970-8190 | Maryland Spine Rehab, Llc 1515 Merritt Blvd, Dundalk, MD 21222-2113 Ph: (410) 285-0920 |
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