Healthport P.a. is a
Physical Medicine & Rehabilitation - Pain Medicine based in Tyler, Texas. Healthport P.a. is licensed to practice in * (Not Available) (license number ) and their current practice location is
4295 Kinsey Dr, Tyler, Texas. It can be reached at their office (for appointments etc.) via phone at
(903) 526-5000.
NPI number for Healthport P.a. is 1154577641 and their current mailing address is 4295 Kinsey Dr, Tyler, Texas. Healthport P.a.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1154577641.
Healthcare Provider's Profile
| Full Name | Healthport P.a. |
|---|
| Type | Facility |
|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
|---|
| Location | 4295 Kinsey Dr, Tyler, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154577641
- Provider Enumeration Date: 08/15/2008
- Last Update Date: 01/07/2013
Medical Identifiers
Medical identifiers for Healthport P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154577641 | NPI | - | NPPES |
| 208679501 | Medicaid | TX | |
| 0066SG | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | 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. Healthport P.a. 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 |
|---|
Healthport P.a.
4295 Kinsey Dr,
Tyler, TX 75703-1004
Ph: (903) 526-5000 | Healthport P.a.
4295 Kinsey Dr,
Tyler, TX 75703-1004
Ph: (903) 526-5000 |
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