My Functional Living Llc is a medicare enrolled "Occupational Therapist" provider in Flanders, New Jersey. Their current practice location is
11 Brewster Pl, Flanders, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(862) 432-5207.
My Functional Living Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. My Functional Living 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 1033733241.
Healthcare Provider's Profile
Full Name | My Functional Living Llc |
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Type | Facility |
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Speciality | Occupational Therapist |
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Location | 11 Brewster Pl, Flanders, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033733241
- Provider Enumeration Date: 06/03/2020
- Last Update Date: 06/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355764994
- Enrollment ID: O20200715000108
Medical Identifiers
Medical identifiers for My Functional Living Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033733241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
My Functional Living Llc acts as a billing entity for following providers:
Provider Name | Nicole Spaldo |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1568799484 PECOS PAC ID: 2264855808 Enrollment ID: I20200715000161 |
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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. My Functional Living 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 |
My Functional Living Llc 11 Brewster Pl, Flanders, NJ 07836-9555 Ph: (862) 432-5207 | My Functional Living Llc 11 Brewster Pl, Flanders, NJ 07836-9555 Ph: (862) 432-5207 |
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