Childress Chiropractic Pc is a
Chiropractor based in De Witt, New York. Childress Chiropractic Pc is licensed to practice in New York (license number X012698-1) and their current practice location is
4317 E Genesee St, Suite 101, De Witt, New York. It can be reached at their office (for appointments etc.) via phone at
(315) 449-4465.
NPI number for Childress Chiropractic Pc is 1184080608 and their current mailing address is 4317 E Genesee St, Suite 101, De Witt, New York. Childress Chiropractic Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184080608.
Healthcare Provider's Profile
| Full Name | Childress Chiropractic Pc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 4317 E Genesee St, De Witt, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184080608
- Provider Enumeration Date: 01/13/2016
- Last Update Date: 01/13/2016
Medical Identifiers
Medical identifiers for Childress Chiropractic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184080608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | X012698-1 (New York) | Primary |
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. Childress Chiropractic Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Childress Chiropractic Pc
4317 E Genesee St, Suite 101,
De Witt, NY 13214-2114
Ph: (315) 449-4465 | Childress Chiropractic Pc
4317 E Genesee St, Suite 101,
De Witt, NY 13214-2114
Ph: (315) 449-4465 |
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