Eden Rejuvenation Center For Wellbeing Pllc - Medicare Primary Care in Fort Worth, TX

Eden Rejuvenation Center For Wellbeing Pllc is a medicare enrolled primary clinic (Internal Medicine - Hospice And Palliative Medicine) in Fort Worth, Texas. The current practice location for Eden Rejuvenation Center For Wellbeing Pllc is 6913 Camp Bowie Blvd, Fort Worth, Texas. For appointments, you can reach them via phone at (267) 471-7431. The mailing address for Eden Rejuvenation Center For Wellbeing Pllc is 5605 Fm 423, Ste 500- 355, Frisco, Texas and phone number is (817) 731-6121.

Eden Rejuvenation Center For Wellbeing Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1023602588. 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 (267) 471-7431.

Contact Information

Eden Rejuvenation Center For Wellbeing Pllc
6913 Camp Bowie Blvd
Fort Worth
TX 76116-7163
(267) 471-7431
(817) 732-8015

Primary Care Clinic Profile

Full NameEden Rejuvenation Center For Wellbeing Pllc
SpecialityInternal Medicine
Location6913 Camp Bowie Blvd, Fort Worth, Texas
Authorized Official Name and PositionBiju Mathew (MD)
Authorized Official Contact2674717431
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eden Rejuvenation Center For Wellbeing Pllc
5605 Fm 423, Ste 500- 355
Frisco
TX 75036-8960

Ph: (817) 731-6121
Eden Rejuvenation Center For Wellbeing Pllc
6913 Camp Bowie Blvd
Fort Worth
TX 76116-7163

Ph: (267) 471-7431

NPI Details:

NPI Number1023602588
Provider Enumeration Date02/25/2021
Last Update Date07/25/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9234547563
Medicare Enrollment IDO20210426001489

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Medical Identifiers

Medical identifiers for Eden Rejuvenation Center For Wellbeing Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023602588NPI-NPPES
1700170867OtherTXNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RH0002XInternal Medicine - Hospice And Palliative Medicine (* (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. Eden Rejuvenation Center For Wellbeing Pllc acts as a billing entity for following providers:
Provider NameAdedoyin Aderonmu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518439017
PECOS PAC ID: 3173958980
Enrollment ID: I20200123002035

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Provider NameBiju B Mathew
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700170867
PECOS PAC ID: 8820218233
Enrollment ID: I20210217001105

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Provider NameBrenda Jean Mcdonnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588331771
PECOS PAC ID: 5991189474
Enrollment ID: I20220901000781

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