Health Centered Spine & Wellness is a medicare enrolled "Nurse Practitioner - Family" provider in Seymour, Indiana. Their current practice location is
1725 E Tipton St, Ste. 200, Seymour, Indiana. You can reach out to their office (for appointments etc.) via phone at
(812) 519-2963.
Health Centered Spine & Wellness is licensed to practice in Indiana (license number 71004638A) and it also participates in the medicare program. Health Centered Spine & Wellness
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 1952631012.
Healthcare Provider's Profile
Full Name | Health Centered Spine & Wellness |
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Type | Facility |
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Speciality | Nurse Practitioner - Family |
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Location | 1725 E Tipton St, Seymour, Indiana |
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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: 1952631012
- Provider Enumeration Date: 01/12/2010
- Last Update Date: 08/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 9638214349
- Enrollment ID: O20100305000593
Medical Identifiers
Medical identifiers for Health Centered Spine & Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952631012 | NPI | - | NPPES |
6412290001 | Other | IN | DME PTAN |
200976980C | Medicaid | IN | |
200976980A | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 8001579 (Indiana) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 01036180A (Indiana) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 71001567A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71004638A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Health Centered Spine & Wellness acts as a billing entity for following providers:
Provider Name | Marwan Mustaklem |
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Provider Type | Practitioner - Internal Medicine |
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Provider Identifiers | NPI Number: 1750357513 PECOS PAC ID: 0941102644 Enrollment ID: I20070327000115 |
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Provider Name | James C Galyen |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1154480440 PECOS PAC ID: 1254322639 Enrollment ID: I20090716000748 |
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Provider Name | Brandon James Maze |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1922501386 PECOS PAC ID: 2062776917 Enrollment ID: I20180501002315 |
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Provider Name | Cassie Hackman |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1750886966 PECOS PAC ID: 8820345861 Enrollment ID: I20180720002451 |
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Provider Name | Trevor Dylan Whipker |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1326513268 PECOS PAC ID: 4688928666 Enrollment ID: I20181109000925 |
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Provider Name | Emilee A Pollmann |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1255059085 PECOS PAC ID: 2567846751 Enrollment ID: I20220907003579 |
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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 Centered Spine & Wellness 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 |
Health Centered Spine & Wellness 1725 E Tipton St, Ste. 200, Seymour, IN 47274-3561 Ph: (812) 519-2963 | Health Centered Spine & Wellness 1725 E Tipton St, Ste. 200, Seymour, IN 47274-3561 Ph: (812) 519-2963 |
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