Heavenly Gore, MASSAGE THERAPIST is a
Massage Therapist based in Chevy Chase, Maryland. Heavenly Gore is licensed to practice in Maryland (license number M04333) and her current practice location is
5530 Wisconsin Ave, Chevy Chase, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 540-6140.
NPI number for Heavenly Gore is 1063725612 and her current mailing address is 20410 Century Blvd, Nrh Regional Rehab - Suite 215, Germantown, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063725612.
Healthcare Provider's Profile
Full Name | Heavenly Gore |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 5530 Wisconsin Ave, Chevy Chase, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063725612
- Provider Enumeration Date: 07/23/2010
- Last Update Date: 07/23/2010
Medical Identifiers
Medical identifiers for Heavenly Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063725612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | M04333 (Maryland) | 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. Heavenly Gore 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 |
Heavenly Gore, MASSAGE THERAPIST 20410 Century Blvd, Nrh Regional Rehab - Suite 215, Germantown, MD 20874-1186 Ph: (301) 540-6140 | Heavenly Gore, MASSAGE THERAPIST 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 Ph: (301) 540-6140 |
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