Countryside Clinic Of Chiropractic, Llc in Lebanon, OH

Countryside Clinic Of Chiropractic, Llc is a medicare enrolled "Chiropractor" provider in Lebanon, Ohio. Their current practice location is 990 Belvedere Dr Ste B, Lebanon, Ohio. You can reach out to their office (for appointments etc.) via phone at (513) 836-8844.

Countryside Clinic Of Chiropractic, Llc is licensed to practice in Ohio (license number 4008) and it also participates in the medicare program. Countryside Clinic Of Chiropractic, Llc 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 1063837367.

Contact Information

	Countryside Clinic Of Chiropractic, Llc
	990 Belvedere Dr Ste B, Lebanon, OH 45036-1193
	(513) 836-8844
	(513) 836-8845

Map and Direction

Healthcare Provider's Profile

Full Name	Countryside Clinic Of Chiropractic, Llc
Type	Facility
Speciality	Chiropractor
Location	990 Belvedere Dr Ste B, Lebanon, Ohio
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063837367
Provider Enumeration Date: 02/23/2014
Last Update Date: 11/26/2019

Medicare PECOS Information:

PECOS PAC ID: 7810129665
Enrollment ID: O20140410001215

Medical Identifiers

Medical identifiers for Countryside Clinic Of Chiropractic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063837367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	4008 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Countryside Clinic Of Chiropractic, Llc acts as a billing entity for following providers:

Provider Name	Tony Dejtiranukul
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1497086953 PECOS PAC ID: 1052507506 Enrollment ID: I20101123000099

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. Countryside Clinic Of Chiropractic, Llc 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
Countryside Clinic Of Chiropractic, Llc 990 Belvedere Dr Ste B, Lebanon, OH 45036-1193 Ph: (513) 836-8844	Countryside Clinic Of Chiropractic, Llc 990 Belvedere Dr Ste B, Lebanon, OH 45036-1193 Ph: (513) 836-8844

Reviews and Comments

Chiropractor in Lebanon, OH

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Juszczyk Chiropractic, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 849 N Broadway St, Lebanon, OH 45036 Phone: 513-932-2955
Kent C Fox, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 950 W Main St, Lebanon, OH 45036 Phone: 513-932-5024 Fax: 513-932-5531
Dr. Nathan G Bunce, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 950 W Main St, Lebanon, OH 45036 Phone: 513-932-5024

Countryside Clinic Of Chiropractic, Llc - Medicare Chiropractor in Lebanon, OH