The Spine Group Llc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Westminster, Colorado. Their current practice location is
12061 Tejon St Ste 600, Westminster, Colorado. You can reach out to their office (for appointments etc.) via phone at
(303) 457-0123.
The Spine Group Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. The Spine Group 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 1033486006.
Healthcare Provider's Profile
| Full Name | The Spine Group Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 12061 Tejon St Ste 600, Westminster, Colorado |
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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: 1033486006
- Provider Enumeration Date: 11/18/2011
- Last Update Date: 11/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 5698938298
- Enrollment ID: O20120619000479
Medical Identifiers
Medical identifiers for The Spine Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033486006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (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.
The Spine Group Llc acts as a billing entity for following providers:
| Provider Name | Tamara Rae Johnson |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1992739890
PECOS PAC ID: 7618905704
Enrollment ID: I20120601000305 |
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| Provider Name | Warner M Hettick |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1134445984
PECOS PAC ID: 9931230489
Enrollment ID: I20150107001964 |
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| Provider Name | Jillian M Murphy |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1760928998
PECOS PAC ID: 3971880964
Enrollment ID: I20170428001504 |
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| Provider Name | Courtney Williams |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1124586573
PECOS PAC ID: 8729313010
Enrollment ID: I20190709001414 |
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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. The Spine Group 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 |
|---|
The Spine Group Llc
12061 Tejon St Ste 600,
Westminster, CO 80234-2325
Ph: (303) 457-0123 | The Spine Group Llc
12061 Tejon St Ste 600,
Westminster, CO 80234-2325
Ph: (303) 457-0123 |
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