Detert Chiropractic Office Sc is a medicare enrolled "Chiropractor" provider in Marion, Wisconsin. Their current practice location is
1101 N Main St, Marion, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(715) 754-2555.
Detert Chiropractic Office Sc is licensed to practice in Wisconsin (license number 2895-012) and it also participates in the medicare program. Detert Chiropractic Office 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 1235139353.
Healthcare Provider's Profile
| Full Name | Detert Chiropractic Office Sc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 1101 N Main St, Marion, 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: 1235139353
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 07/09/2010
Medicare PECOS Information:
- PECOS PAC ID: 4688642580
- Enrollment ID: O20040920000167
Medical Identifiers
Medical identifiers for Detert Chiropractic Office Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235139353 | NPI | - | NPPES |
| OFF38984900 | Medicaid | WI | |
| LAURA38866500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2895-012 (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.
Detert Chiropractic Office Sc acts as a billing entity for following providers:
| Provider Name | Laura L Detert |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1154489425
PECOS PAC ID: 2769450667
Enrollment ID: I20101101000292 |
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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. Detert Chiropractic Office 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 |
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Detert Chiropractic Office Sc
Po Box 485,
Marion, WI 54950-0485
Ph: (715) 754-2555 | Detert Chiropractic Office Sc
1101 N Main St,
Marion, WI 54950-9182
Ph: (715) 754-2555 |
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