Powerback Rehabilitation is a medicare enrolled "Clinic/center - Rehabilitation" provider in O Fallon, Illinois. Their current practice location is
1050 Fountain Lakes Dr, O Fallon, Illinois. You can reach out to their office (for appointments etc.) via phone at
(779) 713-0903.
Powerback Rehabilitation is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Powerback Rehabilitation
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 1467133231.
Healthcare Provider's Profile
| Full Name | Powerback Rehabilitation |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 1050 Fountain Lakes Dr, O Fallon, Illinois |
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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: 1467133231
- Provider Enumeration Date: 07/26/2023
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365359932
- Enrollment ID: O20230728000725
Medical Identifiers
Medical identifiers for Powerback Rehabilitation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467133231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (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. Powerback Rehabilitation 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 |
|---|
Powerback Rehabilitation
101 E State St,
Kennett Square, PA 19348-3109
Ph: (800) 728-8808 | Powerback Rehabilitation
1050 Fountain Lakes Dr,
O Fallon, IL 62269-2595
Ph: (779) 713-0903 |
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