Tribe Pediatric Rehabilitation, Pllc is a
Early Intervention Provider Agency based in Jacksonville, Florida. Tribe Pediatric Rehabilitation, Pllc is licensed to practice in Florida (license number EXEMPT) and their current practice location is
2103 Gilmore St, Jacksonville, Florida. It can be reached at their office (for appointments etc.) via phone at
(904) 465-0178.
NPI number for Tribe Pediatric Rehabilitation, Pllc is 1669613832 and their current mailing address is 660 Spanish Wells Rd, Jacksonville, Florida. Tribe Pediatric Rehabilitation, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1669613832.
Healthcare Provider's Profile
| Full Name | Tribe Pediatric Rehabilitation, Pllc |
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| Type | Facility |
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| Speciality | Early Intervention Provider Agency |
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| Location | 2103 Gilmore St, Jacksonville, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669613832
- Provider Enumeration Date: 03/17/2009
- Last Update Date: 10/18/2024
Medical Identifiers
Medical identifiers for Tribe Pediatric Rehabilitation, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669613832 | NPI | - | NPPES |
| 000468800 | Medicaid | FL | |
| 000712000 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 5457 (Florida) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | EXEMPT (Florida) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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. Tribe Pediatric Rehabilitation, 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 |
|---|
Tribe Pediatric Rehabilitation, Pllc
660 Spanish Wells Rd,
Jacksonville, FL 32218-8926
Ph: (904) 465-0178 | Tribe Pediatric Rehabilitation, Pllc
2103 Gilmore St,
Jacksonville, FL 32204-3211
Ph: (904) 465-0178 |
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