Optimum Rehabilitation And Chiropractic, Ltd. is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Cherry Valley, Illinois. Their current practice location is
1860 S Bell School Rd, Cherry Valley, Illinois. You can reach out to their office (for appointments etc.) via phone at
(815) 580-8270.
Optimum Rehabilitation And Chiropractic, Ltd. is licensed to practice in Illinois (license number 036056126) and it also participates in the medicare program. Optimum Rehabilitation And Chiropractic, Ltd.
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 1629096417.
Healthcare Provider's Profile
| Full Name | Optimum Rehabilitation And Chiropractic, Ltd. |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1860 S Bell School Rd, Cherry Valley, Illinois |
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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: 1629096417
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 06/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 3072616549
- Enrollment ID: O20070321000632
Medical Identifiers
Medical identifiers for Optimum Rehabilitation And Chiropractic, Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629096417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 38-010047 (Illinois) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 036056126 (Illinois) | Primary |
| 225100000X | Physical Therapist | 070.011203 (Illinois) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Optimum Rehabilitation And Chiropractic, Ltd. acts as a billing entity for following providers:
| Provider Name | Bernadette S Petalber |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1326152018
PECOS PAC ID: 9931177326
Enrollment ID: I20040923000205 |
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| Provider Name | James Edgar Wayne Drake |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1083767727
PECOS PAC ID: 9436184314
Enrollment ID: I20060508000018 |
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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. Optimum Rehabilitation And Chiropractic, Ltd. 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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Optimum Rehabilitation And Chiropractic, Ltd.
1860 S Bell School Rd,
Cherry Valley, IL 61016-9372
Ph: (815) 580-8270 | Optimum Rehabilitation And Chiropractic, Ltd.
1860 S Bell School Rd,
Cherry Valley, IL 61016-9372
Ph: (815) 580-8270 |
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