Andrew W Ulvin Dcpa is a medicare enrolled "Chiropractor" provider in Stacy, Minnesota. Their current practice location is
30962 Fenway Ave N, Unit 400, Stacy, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(651) 462-3243.
Andrew W Ulvin Dcpa is licensed to practice in Minnesota (license number 3840) and it also participates in the medicare program. Andrew W Ulvin Dcpa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154639854.
Healthcare Provider's Profile
| Full Name | Andrew W Ulvin Dcpa |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 30962 Fenway Ave N, Stacy, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154639854
- Provider Enumeration Date: 09/16/2010
- Last Update Date: 02/22/2012
Medicare PECOS Information:
- PECOS PAC ID: 3870751035
- Enrollment ID: O20120221000449
Medical Identifiers
Medical identifiers for Andrew W Ulvin Dcpa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154639854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3840 (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.
Andrew W Ulvin Dcpa acts as a billing entity for following providers:
| Provider Name | Andrew W Ulvin |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1083798375
PECOS PAC ID: 9032377213
Enrollment ID: I20120221000520 |
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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. Andrew W Ulvin Dcpa 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 |
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Andrew W Ulvin Dcpa
30962 Fenway Ave N, P.o. Box 298,
Stacy, MN 55079-9659
Ph: (651) 462-3243 | Andrew W Ulvin Dcpa
30962 Fenway Ave N, Unit 400,
Stacy, MN 55079-9659
Ph: (651) 462-3243 |
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