Dr Clyde Henry Faust Jr, DC is a medicare enrolled "Chiropractor" provider in Conneautville, Pennsylvania. His current practice location is
1202 Main Street, Conneautville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 587-2405.
Dr Clyde Henry Faust Jr is licensed to practice in Pennsylvania (license number DC001158L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154498582.
Healthcare Provider's Profile
Full Name | Dr Clyde Henry Faust Jr |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 1202 Main Street, Conneautville, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154498582
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7618137654
- Enrollment ID: I20120328000544
Medical Identifiers
Medical identifiers for Dr Clyde Henry Faust Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154498582 | NPI | - | NPPES |
0006309150002 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | DC001158L (Pennsylvania) | Primary |
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. Dr Clyde Henry Faust Jr 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 |
Dr Clyde Henry Faust Jr, DC 1202 Main Street, Po Box 424, Conneautville, PA 16406-0424 Ph: (814) 587-2405 | Dr Clyde Henry Faust Jr, DC 1202 Main Street, Conneautville, PA 16406-0424 Ph: (814) 587-2405 |
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