Premiere Rehab, Llc is a
Clinic/center - Rehabilitation based in Indianapolis, Indiana. Premiere Rehab, Llc is licensed to practice in Indiana (license number 31003306A) and their current practice location is
9505 E 59th St, Suite B1, Indianapolis, Indiana. It can be reached at their office (for appointments etc.) via phone at
(317) 542-7680.
NPI number for Premiere Rehab, Llc is 1689600801 and their current mailing address is 9505 E 59th St, Suite B1, Indianapolis, Indiana. Premiere Rehab, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1689600801.
Healthcare Provider's Profile
| Full Name | Premiere Rehab, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Rehabilitation |
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| Location | 9505 E 59th St, Indianapolis, Indiana |
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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: 1689600801
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Premiere Rehab, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689600801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (Indiana) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (Indiana) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | 31003306A (Indiana) | 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. Premiere Rehab, Llc 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 |
|---|
Premiere Rehab, Llc
9505 E 59th St, Suite B1,
Indianapolis, IN 46216-1025
Ph: (317) 542-7680 | Premiere Rehab, Llc
9505 E 59th St, Suite B1,
Indianapolis, IN 46216-1025
Ph: (317) 542-7680 |
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