Pivotal Health Physical Medicine, Llc is a
Internal Medicine based in Port Charlotte, Florida. Pivotal Health Physical Medicine, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
12479 S Access Rd, Suite 1, Port Charlotte, Florida. It can be reached at their office (for appointments etc.) via phone at
(941) 697-3001.
NPI number for Pivotal Health Physical Medicine, Llc is 1801169172 and their current mailing address is 12479 S Access Rd, Suite 1, Port Charlotte, Florida. Pivotal Health Physical Medicine, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1801169172.
Healthcare Provider's Profile
| Full Name | Pivotal Health Physical Medicine, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
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| Location | 12479 S Access Rd, Port Charlotte, Florida |
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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: 1801169172
- Provider Enumeration Date: 02/17/2012
- Last Update Date: 07/09/2014
Medical Identifiers
Medical identifiers for Pivotal Health Physical Medicine, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801169172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH8839 (Florida) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
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. Pivotal Health 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 |
|---|
Pivotal Health Physical Medicine, Llc
12479 S Access Rd, Suite 1,
Port Charlotte, FL 33981-6206
Ph: (941) 697-3001 | Pivotal Health Physical Medicine, Llc
12479 S Access Rd, Suite 1,
Port Charlotte, FL 33981-6206
Ph: (941) 697-3001 |
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