Black Creek Chiropractic Office Llc is a medicare enrolled "Chiropractor" provider in Black Creek, Wisconsin. Their current practice location is
411 S Main St, Black Creek, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 984-3353.
Black Creek Chiropractic Office Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Black Creek Chiropractic Office Llc
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 1730578915.
Healthcare Provider's Profile
Full Name | Black Creek Chiropractic Office Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 411 S Main St, Black Creek, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730578915
- Provider Enumeration Date: 01/12/2015
- Last Update Date: 01/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 5092030494
- Enrollment ID: O20150205001802
Medical Identifiers
Medical identifiers for Black Creek Chiropractic Office Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730578915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Black Creek Chiropractic Office Llc acts as a billing entity for following providers:
Provider Name | Darrel Duane Klemp |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1992885289 PECOS PAC ID: 2961679725 Enrollment ID: I20120118000751 |
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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. Black Creek Chiropractic Office Llc 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 |
Black Creek Chiropractic Office Llc Po Box 261, Black Creek, WI 54106-0261 Ph: (920) 984-3353 | Black Creek Chiropractic Office Llc 411 S Main St, Black Creek, WI 54106-9501 Ph: (920) 984-3353 |
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