Mbody Health, Llc is a medicare enrolled "Clinic/center" provider in Portland, Oregon. Their current practice location is
1940 Nw 24th Ave, Portland, Oregon. You can reach out to their office (for appointments etc.) via phone at
(503) 459-8498.
Mbody Health, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mbody Health, 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 1043098965.
Healthcare Provider's Profile
| Full Name | Mbody Health, Llc |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 1940 Nw 24th Ave, Portland, Oregon |
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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: 1043098965
- Provider Enumeration Date: 09/20/2023
- Last Update Date: 03/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517307275
- Enrollment ID: O20240429000151
Medical Identifiers
Medical identifiers for Mbody Health, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043098965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (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.
Mbody Health, Llc acts as a billing entity for following providers:
| Provider Name | Anthony Scot Rocklin |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1861475832
PECOS PAC ID: 0941106181
Enrollment ID: I20100511000149 |
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| Provider Name | Michelle E Gilpin |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1265717201
PECOS PAC ID: 8426218736
Enrollment ID: I20120323000403 |
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| Provider Name | Maddie Henderson Robertson |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1811688294
PECOS PAC ID: 4688031347
Enrollment ID: I20230612001671 |
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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. Mbody Health, 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 |
|---|
Mbody Health, Llc
806 Ne Laurelhurst Pl,
Portland, OR 97232-2655
Ph: () - | Mbody Health, Llc
1940 Nw 24th Ave,
Portland, OR 97210-2786
Ph: (503) 459-8498 |
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