Elite Healthcare Physical Medicine, Llc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Mount Pleasant, South Carolina. Their current practice location is
1300 Hospital Dr, Suite 220, Mount Pleasant, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(305) 915-1249.
Elite Healthcare Physical Medicine, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Elite Healthcare Physical Medicine, 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 1245697424.
Healthcare Provider's Profile
Full Name | Elite Healthcare Physical Medicine, Llc |
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Type | Facility |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 1300 Hospital Dr, Mount Pleasant, South Carolina |
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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: 1245697424
- Provider Enumeration Date: 01/19/2016
- Last Update Date: 01/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 3577853449
- Enrollment ID: O20160606000815
Medical Identifiers
Medical identifiers for Elite Healthcare Physical Medicine, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245697424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (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.
Elite Healthcare Physical Medicine, Llc acts as a billing entity for following providers:
Provider Name | Scott J Becker |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1710569132 PECOS PAC ID: 1850331620 Enrollment ID: I20050511000384 |
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Provider Name | Timothy B Osbon |
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Provider Type | Practitioner - Emergency Medicine |
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Provider Identifiers | NPI Number: 1336179399 PECOS PAC ID: 0840223574 Enrollment ID: I20050914000205 |
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Provider Name | Todd J Brown |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1588897680 PECOS PAC ID: 6608901921 Enrollment ID: I20160606001181 |
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Provider Name | Carl G Botero |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1205564473 PECOS PAC ID: 8022494590 Enrollment ID: I20221006001613 |
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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. Elite Healthcare Physical Medicine, 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 |
Elite Healthcare Physical Medicine, Llc 1300 Hospital Dr, Suite 220, Mount Pleasant, SC 29464-3261 Ph: (305) 915-1249 | Elite Healthcare Physical Medicine, Llc 1300 Hospital Dr, Suite 220, Mount Pleasant, SC 29464-3261 Ph: (305) 915-1249 |
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