Epicenterphd Inc is a
In Home Supportive Care based in Pine City, Minnesota. Epicenterphd Inc is licensed to practice in Minnesota (license number 380825) and their current practice location is
8899 Deer Valley Rd, Pine City, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(612) 203-2473.
NPI number for Epicenterphd Inc is 1255862280 and their current mailing address is 8899 Deer Valley Rd, Pine City, Minnesota. Epicenterphd Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1255862280.
Healthcare Provider's Profile
| Full Name | Epicenterphd Inc |
|---|
| Type | Facility |
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| Speciality | In Home Supportive Care |
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| Location | 8899 Deer Valley Rd, Pine City, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255862280
- Provider Enumeration Date: 03/22/2017
- Last Update Date: 03/22/2017
Medical Identifiers
Medical identifiers for Epicenterphd Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255862280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XH1300X | Occupational Therapist - Human Factors | 380825 (Minnesota) | Secondary |
| 253Z00000X | In Home Supportive Care | 380825 (Minnesota) | Primary |
| 302R00000X | Health Maintenance Organization | 380825 (Minnesota) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 380825 (Minnesota) | Secondary |
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. Epicenterphd Inc 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 |
|---|
Epicenterphd Inc
8899 Deer Valley Rd,
Pine City, MN 55063-4424
Ph: (612) 203-2473 | Epicenterphd Inc
8899 Deer Valley Rd,
Pine City, MN 55063-4424
Ph: (612) 203-2473 |
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