Northern Liberties Wellness Group is a
General Practice based in Philadelphia, Pennsylvania. Northern Liberties Wellness Group is licensed to practice in Pennsylvania (license number OS011923) and their current practice location is
520 N Columbus Blvd, Suite 202, Philadelphia, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(215) 239-3097.
NPI number for Northern Liberties Wellness Group is 1457737967 and their current mailing address is Po Box 9900, Hamilton, New Jersey. Northern Liberties Wellness Group
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1457737967.
Healthcare Provider's Profile
| Full Name | Northern Liberties Wellness Group |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 520 N Columbus Blvd, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457737967
- Provider Enumeration Date: 08/06/2015
- Last Update Date: 08/06/2015
Medical Identifiers
Medical identifiers for Northern Liberties Wellness Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457737967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0400X | Chiropractor - Rehabilitation | DC002363 (Pennsylvania) | Secondary |
| 208D00000X | General Practice | OS011923 (Pennsylvania) | Primary |
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. Northern Liberties Wellness Group is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Northern Liberties Wellness Group
Po Box 9900,
Hamilton, NJ 08650-1900
Ph: (215) 239-3097 | Northern Liberties Wellness Group
520 N Columbus Blvd, Suite 202,
Philadelphia, PA 19123-4226
Ph: (215) 239-3097 |
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