Dr Nicole Rosanna Perreault, DC is a medicare enrolled "Chiropractor" provider in Rush City, Minnesota. Her current practice location is
263 W 4th Street, Rush City, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 358-3441.
Dr Nicole Rosanna Perreault is licensed to practice in Minnesota (license number 5751) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174786800.
Healthcare Provider's Profile
| Full Name | Dr Nicole Rosanna Perreault |
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| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 263 W 4th Street, Rush City, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174786800
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 02/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 4789820598
- Enrollment ID: I20130424000466
Medical Identifiers
Medical identifiers for Dr Nicole Rosanna Perreault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174786800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 104388 (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 5751 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole Rosanna Perreault allows following entities to bill medicare on her behalf.
| Provider Name | Roger E Perreault |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1912942178
PECOS PAC ID: 3678539632
Enrollment ID: I20101228000288 |
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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. Dr Nicole Rosanna Perreault is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nicole Rosanna Perreault, DC
Po Box 86,
Rush City, MN 55069
Ph: (320) 358-3441 | Dr Nicole Rosanna Perreault, DC
263 W 4th Street,
Rush City, MN 55069
Ph: (320) 358-3441 |
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