Core Spine is a medicare enrolled "Chiropractor" provider in Lake Hallie, Wisconsin. Their current practice location is
4753 County Highway J, Lake Hallie, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(720) 448-5274.
Core Spine is licensed to practice in Wisconsin (license number 5073) and it also participates in the medicare program. Core Spine
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 1285162594.
Healthcare Provider's Profile
| Full Name | Core Spine |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 4753 County Highway J, Lake Hallie, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285162594
- Provider Enumeration Date: 05/31/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800157066
- Enrollment ID: O20180302001962
Medical Identifiers
Medical identifiers for Core Spine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285162594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 5073 (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.
Core Spine acts as a billing entity for following providers:
| Provider Name | Shane Gallick |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1932637204
PECOS PAC ID: 7618238874
Enrollment ID: I20180302002058 |
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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. Core Spine 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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Core Spine
4753 County Highway J,
Lake Hallie, WI 54729-3387
Ph: (720) 448-5274 | Core Spine
4753 County Highway J,
Lake Hallie, WI 54729-3387
Ph: (720) 448-5274 |
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