Westlake Injury Center Medical Care is a medicare enrolled "Family Medicine" provider in Westlake, Ohio. Their current practice location is
29099 Health Campus Dr Ste 230, Westlake, Ohio. You can reach out to their office (for appointments etc.) via phone at
(440) 835-6263.
Westlake Injury Center Medical Care is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Westlake Injury Center Medical Care
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 1700326923.
Healthcare Provider's Profile
| Full Name | Westlake Injury Center Medical Care |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 29099 Health Campus Dr Ste 230, Westlake, Ohio |
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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: 1700326923
- Provider Enumeration Date: 03/07/2017
- Last Update Date: 04/18/2017
Medicare PECOS Information:
- PECOS PAC ID: 8729365374
- Enrollment ID: O20170508002106
Medical Identifiers
Medical identifiers for Westlake Injury Center Medical Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700326923 | 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)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | (* (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.
Westlake Injury Center Medical Care acts as a billing entity for following providers:
| Provider Name | Ty Dahodwala |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1760410336
PECOS PAC ID: 3274581848
Enrollment ID: I20050111000002 |
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| Provider Name | Dominic T Haynesworth |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1073550752
PECOS PAC ID: 1355354465
Enrollment ID: I20060712000353 |
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| Provider Name | Margaret A Mandic |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1306194956
PECOS PAC ID: 0143475269
Enrollment ID: I20130221000187 |
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| Provider Name | Sarah M Williams |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1497116859
PECOS PAC ID: 1759658768
Enrollment ID: I20170523001475 |
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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. Westlake Injury Center Medical Care 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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Westlake Injury Center Medical Care
29099 Health Campus Dr Ste 230,
Westlake, OH 44145-5269
Ph: (440) 835-6263 | Westlake Injury Center Medical Care
29099 Health Campus Dr Ste 230,
Westlake, OH 44145-5269
Ph: (440) 835-6263 |
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