Body Systems Wellness Group Inc is a medicare enrolled "Nurse Practitioner" provider in Glendale, California. Their current practice location is
800 S Central Ave Ste 206, Glendale, California. You can reach out to their office (for appointments etc.) via phone at
(818) 240-2233.
Body Systems Wellness Group Inc is licensed to practice in California (license number 95007091) and it also participates in the medicare program. Body Systems Wellness Group Inc
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 1427578848.
Healthcare Provider's Profile
| Full Name | Body Systems Wellness Group Inc |
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| Type | Facility |
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| Speciality | Nurse Practitioner |
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| Location | 800 S Central Ave Ste 206, Glendale, California |
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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: 1427578848
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214365691
- Enrollment ID: O20200318000986
Medical Identifiers
Medical identifiers for Body Systems Wellness Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427578848 | NPI | - | NPPES |
| A122407 | Other | CA | PAIN MEDICINE INTERVENTIONAL |
| DC33522 | Other | CA | CHIROPRACTOR |
| C35643 | Other | CA | PLASTIC SURGERY |
| DC27167 | Other | CA | CHIROPRACTOR |
| DC31558 | Other | CA | CHIROPRACTOR |
| 9500791 | Other | CA | NURSE PRACTIONER |
| A122407 | Other | CA | PAINE MEDICINE INTERVENTIONAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC31558 (California) | Secondary |
| 111N00000X | Chiropractor | DC27167 (California) | Secondary |
| 111N00000X | Chiropractor | DC33522 (California) | Secondary |
| 208200000X | Plastic Surgery | C35643 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A122407 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95007091 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Body Systems Wellness Group Inc acts as a billing entity for following providers:
| Provider Name | Ahmed M Mahdi |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1467935858
PECOS PAC ID: 9638418528
Enrollment ID: I20190312001674 |
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| Provider Name | Lousine Egiazarian |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1407412067
PECOS PAC ID: 9335328210
Enrollment ID: I20191217003310 |
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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. Body Systems Wellness Group Inc 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 |
|---|
Body Systems Wellness Group Inc
800 S Central Ave Ste 206,
Glendale, CA 91204-4379
Ph: (818) 240-2233 | Body Systems Wellness Group Inc
800 S Central Ave Ste 206,
Glendale, CA 91204-4379
Ph: (818) 240-2233 |
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