Interstate Rehab is a medicare enrolled "Clinic/center - Physical Therapy" provider in Troy, Michigan. Their current practice location is
1000 John R Rd Ste 114, Troy, Michigan. You can reach out to their office (for appointments etc.) via phone at
(248) 850-8745.
Interstate Rehab is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Interstate Rehab
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 1992578231.
Healthcare Provider's Profile
| Full Name | Interstate Rehab |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1000 John R Rd Ste 114, Troy, Michigan |
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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: 1992578231
- Provider Enumeration Date: 10/30/2023
- Last Update Date: 10/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789035676
- Enrollment ID: O20240104002303
Medical Identifiers
Medical identifiers for Interstate Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992578231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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.
Interstate Rehab acts as a billing entity for following providers:
| Provider Name | Gerardo B Carbonell |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1942544341
PECOS PAC ID: 5597782185
Enrollment ID: I20150624002541 |
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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. Interstate Rehab 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 |
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Interstate Rehab
1000 John R Rd Ste 114,
Troy, MI 48083-4317
Ph: (248) 850-8745 | Interstate Rehab
1000 John R Rd Ste 114,
Troy, MI 48083-4317
Ph: (248) 850-8745 |
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