Pivotal Health And Rehab is a medicare enrolled "Clinic/center - Multi-specialty" provider in West Columbia, South Carolina. Their current practice location is
103 Sum Mor Dr, West Columbia, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(803) 254-4699.
Pivotal Health And Rehab is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pivotal Health 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 1386150613.
Healthcare Provider's Profile
| Full Name | Pivotal Health And Rehab |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 103 Sum Mor Dr, West Columbia, South Carolina |
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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: 1386150613
- Provider Enumeration Date: 12/22/2017
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244590370
- Enrollment ID: O20180208002719
Medical Identifiers
Medical identifiers for Pivotal Health And Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386150613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (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.
Pivotal Health And Rehab acts as a billing entity for following providers:
| Provider Name | Ryan Bowers |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1679899488
PECOS PAC ID: 6002096658
Enrollment ID: I20110214000842 |
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| Provider Name | John Evans Stavrakos |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1063426724
PECOS PAC ID: 3274563440
Enrollment ID: I20161003000443 |
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| Provider Name | Ashley Torroni Hazelrigg |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1477017606
PECOS PAC ID: 2769725423
Enrollment ID: I20190521000279 |
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| Provider Name | Angelina Dow |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1376137745
PECOS PAC ID: 2961891999
Enrollment ID: I20211113000041 |
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| Provider Name | Hannah Rhea Brown |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1285228403
PECOS PAC ID: 0042694416
Enrollment ID: I20220902001130 |
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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. Pivotal Health 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 |
|---|
Pivotal Health And Rehab
Po Box 2632,
Lexington, SC 29071-2632
Ph: (803) 218-9886 | Pivotal Health And Rehab
103 Sum Mor Dr,
West Columbia, SC 29169-4828
Ph: (803) 254-4699 |
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