Amber Nicole Kingsley, DC in Modesto, CA - Medicare Chiropractor Provider

Amber Nicole Kingsley, DC is a medicare enrolled "Chiropractor" provider in Modesto, California. Her current practice location is 1012 Carver Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 549-2215.

Amber Nicole Kingsley is licensed to practice in California (license number 31121) 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 1417196049.

Contact Information

	Amber Nicole Kingsley, DC
	1012 Carver Rd, Modesto, CA 95350-4732
	(209) 549-2215
	(209) 549-2216

Map and Direction

Healthcare Provider's Profile

Full Name	Amber Nicole Kingsley
Gender	Female
Speciality	Chiropractor
Location	1012 Carver Rd, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417196049
Provider Enumeration Date: 02/04/2009
Last Update Date: 02/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1759420938
Enrollment ID: I20091201000362

Medical Identifiers

Medical identifiers for Amber Nicole Kingsley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417196049	NPI	-	NPPES
DC31121	Other	CA	CHIROPRACTIC LICENSE
4031738	Other	CA	MEDICAL
DC0311210	Other	CA	BLUE SHIELD PIN
CM101A	Other	CA	PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	31121 (California)	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. Amber Nicole Kingsley allows following entities to bill medicare on her behalf.

Provider Name	Amber N Kingsley Dc Inc A Chiropractic Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386396018 PECOS PAC ID: 3072900802 Enrollment ID: O20221205001752

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. Amber Nicole Kingsley 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
Amber Nicole Kingsley, DC 1012 Carver Rd, Modesto, CA 95350-4732 Ph: (209) 549-2215	Amber Nicole Kingsley, DC 1012 Carver Rd, Modesto, CA 95350-4732 Ph: (209) 549-2215

Reviews and Comments

Chiropractor in Modesto, CA

Barter Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1064 Woodland Ave, Suite F, Modesto, CA 95351 Phone: 209-523-3720 Fax: 209-523-3709
Teryl Ryan Boothe, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3217 Tully Rd, Modesto, CA 95350 Phone: 209-576-0897 Fax: 209-577-4998
Mr. Daniel Akulow, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1208 Floyd Ave, Ste B6, Modesto, CA 95350 Phone: 209-549-8090 Fax: 209-549-8094
Dr. Richard Wayne Taylor, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1508 Coffee Rd, Suite B, Modesto, CA 95355 Phone: 209-575-9577 Fax: 209-575-9576
Dr. Ralph W Jeffery, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 200 Auto Center Ct, Suite B, Modesto, CA 95356 Phone: 209-577-4277 Fax: 209-577-0942
Roberts Chiropractic, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 1136 Tully Rd Ste 1, Modesto, CA 95350 Phone: 209-577-1274
Dr. Harry E. Brown Iii, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 162 E Orangeburg Ave, Modesto, CA 95350 Phone: 209-522-7222 Fax: 209-522-0806

Amber Nicole Kingsley, DC - Medicare Chiropractor in Modesto, CA