Pro Health Pain & Rehab Llc. is a
Pain Medicine - Interventional Pain Medicine based in Lavista, Nebraska. Pro Health Pain & Rehab Llc. is licensed to practice in Nebraska (license number ) and their current practice location is
12744 Westport Parkway, Suite 1e, Lavista, Nebraska. It can be reached at their office (for appointments etc.) via phone at
(949) 281-9086.
NPI number for Pro Health Pain & Rehab Llc. is 1477004513 and their current mailing address is 60 Lorraine Ct., Holbook, New York. Pro Health Pain & Rehab Llc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477004513.
Healthcare Provider's Profile
| Full Name | Pro Health Pain & Rehab Llc. |
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| Type | Facility |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 12744 Westport Parkway, Lavista, Nebraska |
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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: 1477004513
- Provider Enumeration Date: 10/24/2016
- Last Update Date: 10/24/2016
Medical Identifiers
Medical identifiers for Pro Health Pain & Rehab Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477004513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (Nebraska) | 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. Pro Health Pain & Rehab 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 |
|---|
Pro Health Pain & Rehab Llc.
60 Lorraine Ct.,
Holbook, NY 11741
Ph: () - | Pro Health Pain & Rehab Llc.
12744 Westport Parkway, Suite 1e,
Lavista, NE 68138
Ph: (949) 281-9086 |
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