Back To Heatlh Chiropractic-medical Center is a medicare enrolled "Chiropractor" provider in Calumet Park, Illinois. Their current practice location is
12647 S Justine St, Calumet Park, Illinois. You can reach out to their office (for appointments etc.) via phone at
(708) 489-2225.
Back To Heatlh Chiropractic-medical Center is licensed to practice in Illinois (license number 038007208) and it also participates in the medicare program. Back To Heatlh Chiropractic-medical Center
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 1619174653.
Healthcare Provider's Profile
| Full Name | Back To Heatlh Chiropractic-medical Center |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 12647 S Justine St, Calumet Park, Illinois |
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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: 1619174653
- Provider Enumeration Date: 07/02/2007
- Last Update Date: 02/03/2009
Medicare PECOS Information:
- PECOS PAC ID: 4284796558
- Enrollment ID: O20090204000050
Medical Identifiers
Medical identifiers for Back To Heatlh Chiropractic-medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619174653 | NPI | - | NPPES |
| 01622136 | Other | IL | BLUE CROSSBLUE SHIELD |
| 038007208 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 038007208 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Back To Heatlh Chiropractic-medical Center acts as a billing entity for following providers:
| Provider Name | Lolita A Wilburn |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1548377716
PECOS PAC ID: 3375605637
Enrollment ID: I20090204000043 |
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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 To Heatlh Chiropractic-medical Center 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 To Heatlh Chiropractic-medical Center
12647 S Justine St,
Calumet Park, IL 60827-6009
Ph: (708) 489-2225 | Back To Heatlh Chiropractic-medical Center
12647 S Justine St,
Calumet Park, IL 60827-6009
Ph: (708) 489-2225 |
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