Reformed Holding Llc is a medicare enrolled "General Practice" provider in Dallas, Texas. Their current practice location is
4435 Mcewen Rd Ste 200, Dallas, Texas. You can reach out to their office (for appointments etc.) via phone at
(214) 945-9666.
Reformed Holding Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Reformed Holding Llc
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 1922573138.
Healthcare Provider's Profile
| Full Name | Reformed Holding Llc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 4435 Mcewen Rd Ste 200, Dallas, Texas |
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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: 1922573138
- Provider Enumeration Date: 10/04/2018
- Last Update Date: 10/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 3375888399
- Enrollment ID: O20181220000079
Medical Identifiers
Medical identifiers for Reformed Holding Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922573138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (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.
Reformed Holding Llc acts as a billing entity for following providers:
| Provider Name | Travis M Mann |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1528376548
PECOS PAC ID: 7416293535
Enrollment ID: I20190110002535 |
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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. Reformed Holding Llc 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 |
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Reformed Holding Llc
4435 Mcewen Rd Ste 200,
Dallas, TX 75244-5206
Ph: () - | Reformed Holding Llc
4435 Mcewen Rd Ste 200,
Dallas, TX 75244-5206
Ph: (214) 945-9666 |
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