| Welevate For Pain A Medical Corp | |
|
45210 Club Dr Indian Wells CA 92210-8860 | |
| (914) 758-0044 | |
| (914) 533-3568 |
| Full Name | Welevate For Pain A Medical Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 45210 Club Dr, Indian Wells, California |
| Authorized Official Name and Position | Mike Duffield (CREDENTIALING) |
| Authorized Official Contact | 4704734809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Welevate For Pain A Medical Corp 45210 Club Dr Indian Wells CA 92210-8860 Ph: () - | Welevate For Pain A Medical Corp 45210 Club Dr Indian Wells CA 92210-8860 Ph: (914) 758-0044 |
| NPI Number | 1649942897 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 10/05/2021 |
| Medicare PECOS PAC ID | 3678962198 |
|---|---|
| Medicare Enrollment ID | O20211122002157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649942897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Laura G Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518318047 PECOS PAC ID: 1052606548 Enrollment ID: I20210225001046 |
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