Renewed Life Medical Llc is a
Nurse Practitioner based in Bronx, New York. Renewed Life Medical Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3505 E Tremont Ave, Bronx, New York. It can be reached at their office (for appointments etc.) via phone at
(917) 721-0405.
NPI number for Renewed Life Medical Llc is 1790520500 and their current mailing address is 3505 E Tremont Ave, Bronx, New York. Renewed Life Medical Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1790520500.
Healthcare Provider's Profile
Full Name | Renewed Life Medical Llc |
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Type | Facility |
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Speciality | Nurse Practitioner |
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Location | 3505 E Tremont Ave, Bronx, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790520500
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 06/25/2024
Medical Identifiers
Medical identifiers for Renewed Life Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790520500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (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. Renewed Life Medical 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 |
Renewed Life Medical Llc 3505 E Tremont Ave, Bronx, NY 10465-2049 Ph: () - | Renewed Life Medical Llc 3505 E Tremont Ave, Bronx, NY 10465-2049 Ph: (917) 721-0405 |
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