Western Reserve Spine & Pain Institute is a
Physical Medicine & Rehabilitation - Pain Medicine based in Kent, Ohio. Western Reserve Spine & Pain Institute is licensed to practice in * (Not Available) (license number ) and their current practice location is
307 W Main St, Kent, Ohio. It can be reached at their office (for appointments etc.) via phone at
(330) 677-3628.
NPI number for Western Reserve Spine & Pain Institute is 1356308407 and their current mailing address is Po Box 951971, Cleveland, Ohio. Western Reserve Spine & Pain Institute
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1356308407.
Healthcare Provider's Profile
| Full Name | Western Reserve Spine & Pain Institute |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 307 W Main St, Kent, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356308407
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 10/24/2007
Medical Identifiers
Medical identifiers for Western Reserve Spine & Pain Institute such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356308407 | NPI | - | NPPES |
| 2311331 | Medicaid | OH | |
| 2374434 | Medicaid | OH | |
| 0251070 | Medicaid | OH | |
| 2082866 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NX0800X | Chiropractor - Orthopedic | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (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. Western Reserve Spine & Pain Institute 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 |
|---|
Western Reserve Spine & Pain Institute
Po Box 951971,
Cleveland, OH 44193-0021
Ph: (330) 548-0080 | Western Reserve Spine & Pain Institute
307 W Main St,
Kent, OH 44240-2400
Ph: (330) 677-3628 |
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