Peak Physical Medicine and Wellness PLLC
NPI 1679305510ActiveOrganization· Pain Medicine, Pain Medicine· Fort Worth, TX
Pain Medicine, Pain Medicine in Fort Worth, Texas, registered in NPPES in August 2024. The authorized official on file is Andre Marse, DC, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679305510 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2024 |
| Last updated in NPPES | Oct 19, 2026 |
| Certified by provider | Oct 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Pain Medicine Primary | 208VP0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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