Coastal Detox, Inc is a medicare enrolled "Substance Abuse Rehabilitation Facility" provider in Stuart, Florida. Their current practice location is
1131 Se Indian St, Stuart, Florida. You can reach out to their office (for appointments etc.) via phone at
(772) 612-0130.
Coastal Detox, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Coastal Detox, 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 1598130098.
Healthcare Provider's Profile
| Full Name | Coastal Detox, Inc |
|---|
| Type | Facility |
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| Speciality | Substance Abuse Rehabilitation Facility |
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| Location | 1131 Se Indian St, Stuart, Florida |
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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: 1598130098
- Provider Enumeration Date: 12/09/2015
- Last Update Date: 10/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789001256
- Enrollment ID: O20200828001136
Medical Identifiers
Medical identifiers for Coastal Detox, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598130098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NX0100X | Chiropractor - Occupational Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 284300000X | Special Hospital | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | 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. Coastal Detox, 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 |
|---|
Coastal Detox, Inc
3007 Sw Martin Downs Blvd,
Palm City, FL 34990-2644
Ph: () - | Coastal Detox, Inc
1131 Se Indian St,
Stuart, FL 34997-5688
Ph: (772) 612-0130 |
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