Integrated Pain & Joint Care Sc is a medicare enrolled "Orthopaedic Surgery" provider in Glendale, Wisconsin. Their current practice location is
5261 N Port Washington Rd, Glendale, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(414) 332-6001.
Integrated Pain & Joint Care Sc is licensed to practice in Wisconsin (license number 44735) and it also participates in the medicare program. Integrated Pain & Joint Care Sc
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 1396144127.
Healthcare Provider's Profile
| Full Name | Integrated Pain & Joint Care Sc |
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| Type | Facility |
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| Speciality | Orthopaedic Surgery |
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| Location | 5261 N Port Washington Rd, Glendale, Wisconsin |
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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: 1396144127
- Provider Enumeration Date: 08/18/2014
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577784446
- Enrollment ID: O20141017000082
Medical Identifiers
Medical identifiers for Integrated Pain & Joint Care Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396144127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4860 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 46681 (Wisconsin) | Secondary |
| 207X00000X | Orthopaedic Surgery | 44735 (Wisconsin) | Primary |
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 868 (Wisconsin) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Integrated Pain & Joint Care Sc acts as a billing entity for following providers:
| Provider Name | Corey J Schneider |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1497833636
PECOS PAC ID: 0547362832
Enrollment ID: I20070216000107 |
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| Provider Name | Ahmed A Elborno |
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| Provider Type | Practitioner - Pain Management |
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| Provider Identifiers | NPI Number: 1750388476
PECOS PAC ID: 9739121666
Enrollment ID: I20151210000072 |
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| Provider Name | Abbey L Fritschler |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1114412723
PECOS PAC ID: 3678821477
Enrollment ID: I20210415000025 |
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| Provider Name | James Douglas Evansen |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1376012658
PECOS PAC ID: 2567833833
Enrollment ID: I20230124002042 |
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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. Integrated Pain & Joint Care Sc 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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Integrated Pain & Joint Care Sc
5261 N Port Washington Rd,
Glendale, WI 53217-4903
Ph: (414) 332-6001 | Integrated Pain & Joint Care Sc
5261 N Port Washington Rd,
Glendale, WI 53217-4903
Ph: (414) 332-6001 |
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