Back In Balance Chiropractic is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Bangor, Maine. Their current practice location is
16 Penn Plz, Suite 22, Bangor, Maine. You can reach out to their office (for appointments etc.) via phone at
(207) 947-8077.
Back In Balance Chiropractic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Back In Balance Chiropractic
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 1902956402.
Healthcare Provider's Profile
| Full Name | Back In Balance Chiropractic |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 16 Penn Plz, Bangor, Maine |
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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: 1902956402
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 09/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 0547261893
- Enrollment ID: O20091228000215
Medical Identifiers
Medical identifiers for Back In Balance Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902956402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CR1314 (Maine) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Back In Balance Chiropractic acts as a billing entity for following providers:
| Provider Name | Anne Janice Knowles |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1043299183
PECOS PAC ID: 4486631637
Enrollment ID: I20040706000705 |
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| Provider Name | Daniel Robinson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1023341039
PECOS PAC ID: 1153468657
Enrollment ID: I20091031000068 |
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| Provider Name | Shaun M Briggs |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1407128895
PECOS PAC ID: 8729221015
Enrollment ID: I20170509000585 |
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| Provider Name | Joel David Chaloux |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1437719812
PECOS PAC ID: 1759611031
Enrollment ID: I20190930002051 |
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| Provider Name | David Manzella |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1316481682
PECOS PAC ID: 9133400773
Enrollment ID: I20210323000321 |
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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. Back In Balance Chiropractic 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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Back In Balance Chiropractic
16 Penn Plz, Suite 22,
Bangor, ME 04401-3620
Ph: (207) 947-8077 | Back In Balance Chiropractic
16 Penn Plz, Suite 22,
Bangor, ME 04401-3620
Ph: (207) 947-8077 |
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