Mr Lawrence Eric Jaffe, PT, SCS, ATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in Boynton Beach, Florida. His current practice location is
7410 Boynton Beach Blvd, Suite A-11, Boynton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(561) 731-0163.
Mr Lawrence Eric Jaffe is licensed to practice in Florida (license number AL2121) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154535078.
Healthcare Provider's Profile
| Full Name | Mr Lawrence Eric Jaffe |
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| Gender | Male |
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| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 7410 Boynton Beach Blvd, Boynton Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154535078
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7416087416
- Enrollment ID: I20100618000243
Medical Identifiers
Medical identifiers for Mr Lawrence Eric Jaffe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154535078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT22266 (Florida) | Primary |
| 2251S0007X | Physical Therapist - Sports | PT22266 (Florida) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | AL2121 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Lawrence Eric Jaffe allows following entities to bill medicare on his behalf.
| Provider Name | Physical Therapy By Design Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689687055
PECOS PAC ID: 6608844170
Enrollment ID: O20040922000582 |
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| Provider Name | North Broward Chiropractic And Wellness Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1194026245
PECOS PAC ID: 5991985863
Enrollment ID: O20110209000796 |
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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. Mr Lawrence Eric Jaffe 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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Mr Lawrence Eric Jaffe, PT, SCS, ATC
6605 Nw 75th Pl,
Parkland, FL 33067-3942
Ph: (954) 740-1720 | Mr Lawrence Eric Jaffe, PT, SCS, ATC
7410 Boynton Beach Blvd, Suite A-11,
Boynton Beach, FL 33437-6156
Ph: (561) 731-0163 |
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