Nourish Pediatric Therapies Llc is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Albuquerque, New Mexico. Their current practice location is
2616 Mcearl Ave Se, Albuquerque, New Mexico. You can reach out to their office (for appointments etc.) via phone at
(505) 506-3329.
Nourish Pediatric Therapies Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Nourish Pediatric Therapies 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 1497410237.
Healthcare Provider's Profile
| Full Name | Nourish Pediatric Therapies Llc |
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| Type | Facility |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 2616 Mcearl Ave Se, Albuquerque, New Mexico |
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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: 1497410237
- Provider Enumeration Date: 11/06/2021
- Last Update Date: 11/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759774979
- Enrollment ID: O20220211001045
Medical Identifiers
Medical identifiers for Nourish Pediatric Therapies Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497410237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (* (Not Available)) | Secondary |
| 225XF0002X | Occupational Therapist - Feeding, Eating & Swallowing | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (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.
Nourish Pediatric Therapies Llc acts as a billing entity for following providers:
| Provider Name | Anjuli Rose Sears |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1245770239
PECOS PAC ID: 2668865882
Enrollment ID: I20220212000014 |
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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. Nourish Pediatric Therapies 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 |
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Nourish Pediatric Therapies Llc
2616 Mcearl Ave Se,
Albuquerque, NM 87106-3007
Ph: (505) 506-3329 | Nourish Pediatric Therapies Llc
2616 Mcearl Ave Se,
Albuquerque, NM 87106-3007
Ph: (505) 506-3329 |
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