Health Atlast Pocatello Llc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Pocatello, Idaho. Their current practice location is
1800 Flandro Dr Ste 110, Pocatello, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 242-3723.
Health Atlast Pocatello Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Health Atlast Pocatello 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 1235789249.
Healthcare Provider's Profile
| Full Name | Health Atlast Pocatello Llc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1800 Flandro Dr Ste 110, Pocatello, Idaho |
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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: 1235789249
- Provider Enumeration Date: 09/12/2019
- Last Update Date: 09/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 0749512457
- Enrollment ID: O20191030001540
Medical Identifiers
Medical identifiers for Health Atlast Pocatello Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235789249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (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.
Health Atlast Pocatello Llc acts as a billing entity for following providers:
| Provider Name | Shaloam Agalelei Ofisa |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1952713166
PECOS PAC ID: 9436379526
Enrollment ID: I20141015000026 |
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| Provider Name | Zachary Steven Lovell |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1013557511
PECOS PAC ID: 1254767452
Enrollment ID: I20200206002644 |
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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. Health Atlast Pocatello 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 |
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Health Atlast Pocatello Llc
1800 Flandro Dr Ste 110,
Pocatello, ID 83202-4936
Ph: (208) 242-3723 | Health Atlast Pocatello Llc
1800 Flandro Dr Ste 110,
Pocatello, ID 83202-4936
Ph: (208) 242-3723 |
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