Wellness Club, Ltd is a medicare enrolled "Clinic/center - Physical Therapy" provider in Bannockburn, Illinois. Their current practice location is
2223 Lakeside Dr, Bannockburn, Illinois. You can reach out to their office (for appointments etc.) via phone at
(847) 920-4040.
Wellness Club, Ltd is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Wellness Club, Ltd
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 1043895832.
Healthcare Provider's Profile
| Full Name | Wellness Club, Ltd |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2223 Lakeside Dr, Bannockburn, Illinois |
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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: 1043895832
- Provider Enumeration Date: 03/12/2021
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981013521
- Enrollment ID: O20210511001505
Medical Identifiers
Medical identifiers for Wellness Club, Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043895832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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.
Wellness Club, Ltd acts as a billing entity for following providers:
| Provider Name | Leanne E Reed |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1164439030
PECOS PAC ID: 3577559251
Enrollment ID: I20060921000144 |
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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. Wellness Club, Ltd 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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Wellness Club, Ltd
2223 Lakeside Dr,
Bannockburn, IL 60015-1265
Ph: (847) 920-4040 | Wellness Club, Ltd
2223 Lakeside Dr,
Bannockburn, IL 60015-1265
Ph: (847) 920-4040 |
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