Pediatric Foundations, Pllc is a
Clinic/center - Multi-specialty based in Charlotte, North Carolina. Pediatric Foundations, Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2624 Mt Isle Harbor Dr, Charlotte, North Carolina. It can be reached at their office (for appointments etc.) via phone at
(727) 420-0267.
NPI number for Pediatric Foundations, Pllc is 1932762622 and their current mailing address is 2624 Mt Isle Harbor Dr, Charlotte, North Carolina. Pediatric Foundations, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1932762622.
Healthcare Provider's Profile
| Full Name | Pediatric Foundations, Pllc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Multi-specialty |
|---|
| Location | 2624 Mt Isle Harbor Dr, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932762622
- Provider Enumeration Date: 04/17/2019
- Last Update Date: 05/28/2019
Medical Identifiers
Medical identifiers for Pediatric Foundations, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932762622 | NPI | - | NPPES |
| 1659420040 | Other | NC | TRICARE |
| 1659420040 | Other | NC | MEDCOST |
| 2084 | Other | NC | REHAB PROVIDER NETWORK |
| 18923 | Other | NC | BCBSNC |
| 1659420040 | Medicaid | FL | |
| 006528 | Other | NC | OPTUM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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. Pediatric Foundations, Pllc 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 |
|---|
Pediatric Foundations, Pllc
2624 Mt Isle Harbor Dr,
Charlotte, NC 28214-5413
Ph: (727) 420-0267 | Pediatric Foundations, Pllc
2624 Mt Isle Harbor Dr,
Charlotte, NC 28214-5413
Ph: (727) 420-0267 |
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