Panda Physical Medicine Llc is a
Nurse Practitioner based in Eatontown, New Jersey. Panda Physical Medicine Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
142 Highway 35 Ste 107, Eatontown, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(732) 898-3040.
NPI number for Panda Physical Medicine Llc is 1043711203 and their current mailing address is 904 Deal Rd Apt 12, Ocean, New Jersey. Panda Physical Medicine Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1043711203.
Healthcare Provider's Profile
Full Name | Panda Physical Medicine Llc |
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Type | Facility |
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Speciality | Nurse Practitioner |
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Location | 142 Highway 35 Ste 107, Eatontown, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043711203
- Provider Enumeration Date: 02/23/2018
- Last Update Date: 05/27/2022
Medical Identifiers
Medical identifiers for Panda Physical Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043711203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
174400000X | Specialist | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (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. Panda Physical Medicine Llc 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 |
Panda Physical Medicine Llc 904 Deal Rd Apt 12, Ocean, NJ 07712-3443 Ph: (732) 455-1375 | Panda Physical Medicine Llc 142 Highway 35 Ste 107, Eatontown, NJ 07724-1864 Ph: (732) 898-3040 |
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