Enid Live Well is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Enid, Oklahoma. Their current practice location is
401 E Oklahoma Ave, Enid, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 233-4300.
Enid Live Well is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Enid Live Well
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 1700476488.
Healthcare Provider's Profile
| Full Name | Enid Live Well |
|---|
| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 401 E Oklahoma Ave, Enid, Oklahoma |
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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: 1700476488
- Provider Enumeration Date: 01/26/2021
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092122218
- Enrollment ID: O20210405001705
Medical Identifiers
Medical identifiers for Enid Live Well such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700476488 | NPI | - | NPPES |
| 100257360D | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 163WG0000X | Registered Nurse - General Practice | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 202K00000X | Phlebology | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 207RI0001X | Internal Medicine - Clinical & Laboratory Immunology | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (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.
Enid Live Well acts as a billing entity for following providers:
| Provider Name | Viki S Resler |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1619956554
PECOS PAC ID: 7618050360
Enrollment ID: I20080219000188 |
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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. Enid Live Well 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 |
|---|
Enid Live Well
401 E. Oklahoma Ave,
Enid, OK 73701-5800
Ph: (580) 233-4300 | Enid Live Well
401 E Oklahoma Ave,
Enid, OK 73701-5800
Ph: (580) 233-4300 |
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