Clinton Chiropractic Clinic Sc is a medicare enrolled "Chiropractor" provider in Clinton, Wisconsin. Their current practice location is
400 Ogden Ave, Clinton, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(608) 676-2210.
Clinton Chiropractic Clinic Sc is licensed to practice in Wisconsin (license number 3029012) and it also participates in the medicare program. Clinton Chiropractic Clinic Sc
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 1003813817.
Healthcare Provider's Profile
Full Name | Clinton Chiropractic Clinic Sc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 400 Ogden Ave, Clinton, 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: 1003813817
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 11/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 2062434988
- Enrollment ID: O20051220000606
Medical Identifiers
Medical identifiers for Clinton Chiropractic Clinic Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003813817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 3029012 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Clinton Chiropractic Clinic Sc acts as a billing entity for following providers:
Provider Name | Brian D Dittmann |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1144381971 PECOS PAC ID: 2961490925 Enrollment ID: I20040506000436 |
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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. Clinton Chiropractic Clinic Sc 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 |
Clinton Chiropractic Clinic Sc 400 Ogden Ave, Clinton, WI 53525-9005 Ph: (608) 676-2210 | Clinton Chiropractic Clinic Sc 400 Ogden Ave, Clinton, WI 53525-9005 Ph: (608) 676-2210 |
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