Victress Health And Wellness Llc is a medicare enrolled "Clinic/center - Primary Care" provider in Sidney, Ohio. Their current practice location is
804 W Russell Rd, Sidney, Ohio. You can reach out to their office (for appointments etc.) via phone at
(937) 557-5657.
Victress Health And Wellness Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Victress Health And Wellness 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 1851926026.
Healthcare Provider's Profile
| Full Name | Victress Health And Wellness Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Primary Care |
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| Location | 804 W Russell Rd, Sidney, Ohio |
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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: 1851926026
- Provider Enumeration Date: 03/09/2020
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789015843
- Enrollment ID: O20200506000657
Medical Identifiers
Medical identifiers for Victress Health And Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851926026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (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.
Victress Health And Wellness Llc acts as a billing entity for following providers:
| Provider Name | Lisa Ann Marino |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1558879353
PECOS PAC ID: 5698106755
Enrollment ID: I20200506000811 |
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| Provider Name | Erin E Hazelbaker |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1174132963
PECOS PAC ID: 1153740287
Enrollment ID: I20200923001500 |
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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. Victress Health And Wellness 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 |
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Victress Health And Wellness Llc
804 W Russell Rd,
Sidney, OH 45365-9063
Ph: (937) 557-5657 | Victress Health And Wellness Llc
804 W Russell Rd,
Sidney, OH 45365-9063
Ph: (937) 557-5657 |
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