Generations Rehab Group, Llc is a medicare enrolled "Clinic/center - Health Service" provider in Lonaconing, Maryland. Their current practice location is
57 Jackson St, Lonaconing, Maryland. You can reach out to their office (for appointments etc.) via phone at
(301) 463-5451.
Generations Rehab Group, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Generations Rehab Group, 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 1891411518.
Healthcare Provider's Profile
| Full Name | Generations Rehab Group, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Health Service |
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| Location | 57 Jackson St, Lonaconing, Maryland |
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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: 1891411518
- Provider Enumeration Date: 10/14/2022
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385015247
- Enrollment ID: O20230201000756
Medical Identifiers
Medical identifiers for Generations Rehab Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891411518 | NPI | - | NPPES |
| 1346588829 | Medicaid | MD | |
| 1629102561 | Medicaid | MD | |
| 1003261850 | Medicaid | MD | |
| 1568813889 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (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.
Generations Rehab Group, Llc acts as a billing entity for following providers:
| Provider Name | James A Lauder |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1629102561
PECOS PAC ID: 4486723897
Enrollment ID: I20080527000139 |
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| Provider Name | Maggie Drew |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1568813889
PECOS PAC ID: 2163811886
Enrollment ID: I20211117002362 |
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| Provider Name | Pamela J O'baker |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1346588829
PECOS PAC ID: 8729475660
Enrollment ID: I20220425001366 |
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| Provider Name | Abbie E Mullan |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1598294225
PECOS PAC ID: 2466891825
Enrollment ID: I20240417003460 |
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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. Generations Rehab Group, 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 |
|---|
Generations Rehab Group, Llc
57 Jackson St,
Lonaconing, MD 21539-1307
Ph: (301) 463-5451 | Generations Rehab Group, Llc
57 Jackson St,
Lonaconing, MD 21539-1307
Ph: (301) 463-5451 |
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