Chisholm Trail Clinic Of Chiropractic is a medicare enrolled "Chiropractor" provider in Lockhart, Texas. Their current practice location is
731 S Colorado St, Lockhart, Texas. You can reach out to their office (for appointments etc.) via phone at
(512) 668-4163.
Chisholm Trail Clinic Of Chiropractic is licensed to practice in Texas (license number 11510) and it also participates in the medicare program. Chisholm Trail Clinic Of 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 1578871653.
Healthcare Provider's Profile
Full Name | Chisholm Trail Clinic Of Chiropractic |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 731 S Colorado St, Lockhart, Texas |
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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: 1578871653
- Provider Enumeration Date: 09/22/2010
- Last Update Date: 09/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 8921293242
- Enrollment ID: O20101112000293
Medical Identifiers
Medical identifiers for Chisholm Trail Clinic Of Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578871653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 11510 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Chisholm Trail Clinic Of Chiropractic acts as a billing entity for following providers:
Provider Name | Ronald James Peterson |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1205143948 PECOS PAC ID: 9830384155 Enrollment ID: I20101112000380 |
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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. Chisholm Trail Clinic Of 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 |
Chisholm Trail Clinic Of Chiropractic 1607 Paintbrush Dr, Lockhart, TX 78644-3087 Ph: (512) 668-4163 | Chisholm Trail Clinic Of Chiropractic 731 S Colorado St, Lockhart, TX 78644-3103 Ph: (512) 668-4163 |
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