Healthy Body Integrative Medicine is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Mansfield, Texas. Their current practice location is
2400 Highway 287 N Ste 104, Mansfield, Texas. You can reach out to their office (for appointments etc.) via phone at
(817) 539-0044.
Healthy Body Integrative Medicine is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Healthy Body Integrative Medicine
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 1568117612.
Healthcare Provider's Profile
| Full Name | Healthy Body Integrative Medicine |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2400 Highway 287 N Ste 104, Mansfield, Texas |
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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: 1568117612
- Provider Enumeration Date: 02/17/2022
- Last Update Date: 02/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123412103
- Enrollment ID: O20220309000134
Medical Identifiers
Medical identifiers for Healthy Body Integrative Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568117612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (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.
Healthy Body Integrative Medicine acts as a billing entity for following providers:
| Provider Name | Dana C Applewhite |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1083863328
PECOS PAC ID: 4688727738
Enrollment ID: I20090806000575 |
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| Provider Name | Marcelle A Petry |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1649281726
PECOS PAC ID: 6406750488
Enrollment ID: I20130708000566 |
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| Provider Name | Patience Effanga |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1457607780
PECOS PAC ID: 0042622565
Enrollment ID: I20201207002059 |
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| Provider Name | Sandia Venord |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1124783642
PECOS PAC ID: 5496147365
Enrollment ID: I20220126002853 |
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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. Healthy Body Integrative Medicine 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 |
|---|
Healthy Body Integrative Medicine
2400 Highway 287 N Ste 104,
Mansfield, TX 76063-8872
Ph: (817) 539-0044 | Healthy Body Integrative Medicine
2400 Highway 287 N Ste 104,
Mansfield, TX 76063-8872
Ph: (817) 539-0044 |
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