North Texas Injury And Wellness Pllc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Benbrook, Texas. Their current practice location is
6431 Southwest Blvd, Benbrook, Texas. You can reach out to their office (for appointments etc.) via phone at
(817) 738-9777.
North Texas Injury And Wellness Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. North Texas Injury And Wellness Pllc
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 1700428901.
Healthcare Provider's Profile
| Full Name | North Texas Injury And Wellness Pllc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 6431 Southwest Blvd, Benbrook, 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: 1700428901
- Provider Enumeration Date: 10/09/2019
- Last Update Date: 02/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204261092
- Enrollment ID: O20200124002257
Medical Identifiers
Medical identifiers for North Texas Injury And Wellness Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700428901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (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.
North Texas Injury And Wellness Pllc acts as a billing entity for following providers:
| Provider Name | Timothy E Odom |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1952320756
PECOS PAC ID: 9638158470
Enrollment ID: I20040715001127 |
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| Provider Name | Rudolph A Theobald |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1386729929
PECOS PAC ID: 8123164076
Enrollment ID: I20091006000516 |
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| Provider Name | Mark H Bussell |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1922041599
PECOS PAC ID: 5193899748
Enrollment ID: I20101119000210 |
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| Provider Name | Jennifer L Savage |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1215444104
PECOS PAC ID: 3678833308
Enrollment ID: I20180129000720 |
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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. North Texas Injury And Wellness Pllc 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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North Texas Injury And Wellness Pllc
6116 Dakbend Trail, Suite 112,
Fort Worth, TX 76132-3926
Ph: (817) 346-7800 | North Texas Injury And Wellness Pllc
6431 Southwest Blvd,
Benbrook, TX 76132-2777
Ph: (817) 738-9777 |
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