Legacy Pain And Regenerative Medicine is a medicare enrolled "Nurse Practitioner - Family" provider in Plano, Texas. Their current practice location is
5425 W Spring Creek Pkwy Ste 115, Plano, Texas. You can reach out to their office (for appointments etc.) via phone at
(972) 899-9797.
Legacy Pain And Regenerative Medicine is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Legacy Pain And Regenerative 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 1275924680.
Healthcare Provider's Profile
| Full Name | Legacy Pain And Regenerative Medicine |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5425 W Spring Creek Pkwy Ste 115, Plano, 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: 1275924680
- Provider Enumeration Date: 02/08/2015
- Last Update Date: 07/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 0446540959
- Enrollment ID: O20160610001383
Medical Identifiers
Medical identifiers for Legacy Pain And Regenerative Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275924680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Legacy Pain And Regenerative Medicine acts as a billing entity for following providers:
| Provider Name | Trace L Alexander |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1952307845
PECOS PAC ID: 9335195445
Enrollment ID: I20160610001586 |
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| Provider Name | Adam A Rodriguez |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1841365269
PECOS PAC ID: 4284690652
Enrollment ID: I20170125000076 |
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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. Legacy Pain And Regenerative 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 |
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Legacy Pain And Regenerative Medicine
Po Box 118917,
Carrollton, TX 75011-8917
Ph: (972) 899-9797 | Legacy Pain And Regenerative Medicine
5425 W Spring Creek Pkwy Ste 115,
Plano, TX 75024-4333
Ph: (972) 899-9797 |
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