Spinecare Inc is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" provider in Madison, Alabama. Their current practice location is
12205 County Line Rd, Suite D, Madison, Alabama. You can reach out to their office (for appointments etc.) via phone at
(256) 461-7775.
Spinecare Inc is licensed to practice in Alabama (license number 1995) and it also participates in the medicare program. Spinecare Inc
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 1538171004.
Healthcare Provider's Profile
| Full Name | Spinecare Inc |
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| Type | Facility |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 12205 County Line Rd, Madison, Alabama |
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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: 1538171004
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 10/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 1153377627
- Enrollment ID: O20050328000849
Medical Identifiers
Medical identifiers for Spinecare Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538171004 | NPI | - | NPPES |
| 51505583 | Other | AL | BLUE CROSS PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 1995 (Alabama) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 1995 (Alabama) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 1995 (Alabama) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 1995 (Alabama) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Spinecare Inc acts as a billing entity for following providers:
| Provider Name | Ann C Still |
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| Provider Type | Practitioner - Pain Management |
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| Provider Identifiers | NPI Number: 1811977135
PECOS PAC ID: 6709785124
Enrollment ID: I20040106000010 |
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| Provider Name | Timothy E Sargeant |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1285741371
PECOS PAC ID: 5395706204
Enrollment ID: I20041025000228 |
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| Provider Name | Sean P Wallis |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1245431501
PECOS PAC ID: 7719062090
Enrollment ID: I20080311000437 |
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| Provider Name | Anthony F Houssain |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1457323347
PECOS PAC ID: 0042266512
Enrollment ID: I20101230000064 |
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| Provider Name | Danielle Morrison |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1073915518
PECOS PAC ID: 4688996705
Enrollment ID: I20141201000726 |
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| Provider Name | Jeffrey S Jones |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1265846604
PECOS PAC ID: 8921325887
Enrollment ID: I20231219000323 |
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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. Spinecare Inc 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 |
|---|
Spinecare Inc
12205 County Line Rd, Suite D,
Madison, AL 35758-7719
Ph: (256) 461-7775 | Spinecare Inc
12205 County Line Rd, Suite D,
Madison, AL 35758-7719
Ph: (256) 461-7775 |
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