Edlantis Achievement Center is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Scotland, Pennsylvania. Their current practice location is
3583 Scotland Rd, Scotland, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(717) 496-9364.
Edlantis Achievement Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Edlantis Achievement Center
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 1821343476.
Healthcare Provider's Profile
| Full Name | Edlantis Achievement Center |
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| Type | Facility |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 3583 Scotland Rd, Scotland, Pennsylvania |
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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: 1821343476
- Provider Enumeration Date: 07/19/2012
- Last Update Date: 05/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 4284958091
- Enrollment ID: O20150128000286
Medical Identifiers
Medical identifiers for Edlantis Achievement Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821343476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XG0600X | Occupational Therapist - Gerontology | (* (Not Available)) | Secondary |
| 225XL0004X | Occupational Therapist - Low Vision | (* (Not Available)) | Secondary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | (* (Not Available)) | Secondary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (* (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.
Edlantis Achievement Center acts as a billing entity for following providers:
| Provider Name | Joel H Desotelle |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1669570883
PECOS PAC ID: 7517969298
Enrollment ID: I20150128000456 |
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| Provider Name | Greg M Hoover |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1760893788
PECOS PAC ID: 1557688033
Enrollment ID: I20150320001208 |
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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. Edlantis Achievement Center 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 |
|---|
Edlantis Achievement Center
Po Box 393,
Scotland, PA 17254-0393
Ph: (717) 496-9364 | Edlantis Achievement Center
3583 Scotland Rd,
Scotland, PA 17254-1200
Ph: (717) 496-9364 |
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