East Detroit Pain And Rehab Pllc is a
Internal Medicine based in Detroit, Michigan. East Detroit Pain And Rehab Pllc is licensed to practice in Michigan (license number ) and their current practice location is
10575 Morang Dr, Detroit, Michigan. It can be reached at their office (for appointments etc.) via phone at
(313) 884-5477.
NPI number for East Detroit Pain And Rehab Pllc is 1699168146 and their current mailing address is 10575 Morang Dr, Detroit, Michigan. East Detroit Pain And Rehab Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699168146.
Healthcare Provider's Profile
| Full Name | East Detroit Pain And Rehab Pllc |
|---|
| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 10575 Morang Dr, Detroit, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699168146
- Provider Enumeration Date: 03/09/2015
- Last Update Date: 03/09/2015
Medical Identifiers
Medical identifiers for East Detroit Pain And Rehab Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699168146 | NPI | - | NPPES |
| 00409105 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (Michigan) | Primary |
| 225100000X | Physical Therapist | (* (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. East Detroit Pain And Rehab Pllc 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 |
|---|
East Detroit Pain And Rehab Pllc
10575 Morang Dr,
Detroit, MI 48224-1880
Ph: (313) 884-5477 | East Detroit Pain And Rehab Pllc
10575 Morang Dr,
Detroit, MI 48224-1880
Ph: (313) 884-5477 |
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