Brd Wellness Pllc is a medicare enrolled primary clinic (Clinic/center) in Shalimar, Florida. The current practice location for Brd Wellness Pllc is 60 2nd St Unit C-7, Shalimar, Florida. For appointments, you can reach them via phone at
(850) 613-4125. The mailing address for Brd Wellness Pllc is 613 Powell Dr, Niceville, Florida and phone number is (337) 278-4107.
Brd Wellness Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1487239539. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(850) 613-4125.
Primary Care Clinic Profile
| Full Name | Brd Wellness Pllc |
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| Speciality | Clinic/Center |
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| Location | 60 2nd St Unit C-7, Shalimar, Florida |
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| Authorized Official Name and Position | Bambi Denais (OWNER/CHIROPRACTOR) |
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| Authorized Official Contact | 8506134125 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Brd Wellness Pllc
613 Powell Dr
Niceville
FL 32578-2038
Ph: (337) 278-4107 | Brd Wellness Pllc
60 2nd St Unit C-7
Shalimar
FL 32579-1769
Ph: (850) 613-4125 |
NPI Details:
| NPI Number | 1487239539 |
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| Provider Enumeration Date | 03/10/2021 |
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| Last Update Date | 03/10/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0941694533 |
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| Medicare Enrollment ID | O20220224001532 |
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Medical Identifiers
Medical identifiers for Brd Wellness Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487239539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | (* (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.
Brd Wellness Pllc acts as a billing entity for following providers:
| Provider Name | Bambi R Denais |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1457683245
PECOS PAC ID: 5193857563
Enrollment ID: I20180220000012 |
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