Pa Pain And Rehab is a medicare enrolled "Psychiatry & Neurology - Pain Medicine" provider in Philadelphia, Pennsylvania. Their current practice location is
6325 Woodland Avenue, Philadelphia, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(215) 465-4714.
Pa Pain And Rehab is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pa Pain And Rehab
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 1881193860.
Healthcare Provider's Profile
Full Name | Pa Pain And Rehab |
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Type | Facility |
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Speciality | Psychiatry & Neurology - Pain Medicine |
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Location | 6325 Woodland Avenue, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881193860
- Provider Enumeration Date: 02/06/2018
- Last Update Date: 02/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 7315201126
- Enrollment ID: O20180502002814
Medical Identifiers
Medical identifiers for Pa Pain And Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881193860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (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.
Pa Pain And Rehab acts as a billing entity for following providers:
Provider Name | Scott J Pello |
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Provider Type | Practitioner - Pain Management |
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Provider Identifiers | NPI Number: 1619165867 PECOS PAC ID: 4385822170 Enrollment ID: I20151203001460 |
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Provider Name | Erin N Haberman |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1518323575 PECOS PAC ID: 4486902939 Enrollment ID: I20180731003453 |
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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. Pa Pain And Rehab 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 |
Pa Pain And Rehab 2216 West Passyunk, Philadelphia, PA 19145 Ph: (215) 465-4714 | Pa Pain And Rehab 6325 Woodland Avenue, Philadelphia, PA 19142 Ph: (215) 465-4714 |
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