Bass Lake Chiropractic Clinic, P.a. - Medicare Chiropractor in Crystal, MN

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Bass Lake Chiropractic Clinic, P.a. is a medicare enrolled "Chiropractor" provider in Crystal, Minnesota. Their current practice location is 5640 W Broadway Ave, Crystal, Minnesota. You can reach out to their office (for appointments etc.) via phone at (763) 537-8070.

Bass Lake Chiropractic Clinic, P.a. is licensed to practice in Minnesota (license number DC4020) and it also participates in the medicare program. Bass Lake Chiropractic Clinic, P.a. 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 1487747226.

Contact Information

Bass Lake Chiropractic Clinic, P.a.
5640 W Broadway Ave,
Crystal, MN 55428-3556
(763) 537-8070
(763) 537-9513

Map and Direction




Healthcare Provider's Profile

Full NameBass Lake Chiropractic Clinic, P.a.
TypeFacility
SpecialityChiropractor
Location5640 W Broadway Ave, Crystal, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487747226
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 08/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6800837329
  • Enrollment ID: O20050516000298

Medical Identifiers

Medical identifiers for Bass Lake Chiropractic Clinic, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487747226NPI-NPPES
4C416HUOtherMNBCBS GROUP ID #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor DC4020 (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. Bass Lake Chiropractic Clinic, P.a. acts as a billing entity for following providers:
Provider NameKristin L Johnson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1104143007
PECOS PAC ID: 5597896365
Enrollment ID: I20100623000838
Provider NameJonathan Wesley Morris
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1609140318
PECOS PAC ID: 6406017144
Enrollment ID: I20120405000541

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. Bass Lake Chiropractic Clinic, P.a. 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 AddressPractice Location Address
Bass Lake Chiropractic Clinic, P.a.
5640 W Broadway Ave,
Crystal, MN 55428-3556

Ph: (763) 537-8070		Bass Lake Chiropractic Clinic, P.a.
5640 W Broadway Ave,
Crystal, MN 55428-3556

Ph: (763) 537-8070

Reviews and Comments


Chiropractor in Crystal, MN

Michelle Marie Greenman, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 5640 W Broadway Ave, Crystal, MN 55428
Phone: 763-537-8070    Fax: 763-537-9513
Northwoods Spine Instsitute, Pa
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 5524 W Broadway Ave, Crystal, MN 55428
Phone: 763-533-7700    Fax: 763-533-6670
Abel Chiropractic Clinic
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 3411 Winnetka Ave N, Crystal, MN 55427
Phone: 763-593-1860    
Back To Life Natural Health Center
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 2960 Winnetka Ave N, Suite 110, Crystal, MN 55427
Phone: 763-546-3736    Fax: 763-546-3807
Dr. Gary Lee Hahn Jr., D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 5524 W Broadway Ave, Crystal, MN 55428
Phone: 763-533-7700    Fax: 763-533-6670
Dr. Andrea Wilde, DC
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 4330 Brunswick Ave N, Crystal, MN 55422
Phone: 612-240-6727    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.