Connor David Keating, DC is a medicare enrolled "Chiropractor" provider in Sullivan, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 2020 and has 4 years of diverse experience with area of expertise as Chiropractic. His current practice location is
148 Main St, Sullivan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 582-3077.
Connor David Keating is licensed to practice in Wisconsin (license number 5526-12) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689209694.
Healthcare Provider's Profile
| Full Name | Connor David Keating |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 4 Years |
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| Location | 148 Main St, Sullivan, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Connor David Keating attended and graduated from Palmer College Chiropractic - Davenport in 2020
NPI Data:
- NPI Number: 1689209694
- Provider Enumeration Date: 03/10/2020
- Last Update Date: 03/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416385596
- Enrollment ID: I20200324001683
Medical Identifiers
Medical identifiers for Connor David Keating such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689209694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 5526-12 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Connor David Keating allows following entities to bill medicare on his behalf.
| Provider Name | Encompass Chiropractic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326770785
PECOS PAC ID: 6103209499
Enrollment ID: O20220819000062 |
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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. Connor David Keating 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 |
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Connor David Keating, DC
148 Main St,
Sullivan, WI 53178-9665
Ph: (262) 582-3077 | Connor David Keating, DC
148 Main St,
Sullivan, WI 53178-9665
Ph: (262) 582-3077 |
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