Dr Dale Wesley Disbro Jr, DC in Marietta, GA - Medicare Chiropractor Provider

Dr Dale Wesley Disbro Jr, DC is a medicare enrolled "Chiropractor" provider in Marietta, Georgia. His current practice location is 1640 Powers Ferry Rd Se Ste 175, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 690-8959.

Dr Dale Wesley Disbro Jr is licensed to practice in Georgia (license number CHIR010515) 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 1124603683.

Contact Information

	Dr Dale Wesley Disbro Jr, DC
	1640 Powers Ferry Rd Se Ste 175, Marietta, GA 30067-5491
	(770) 690-8959
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dale Wesley Disbro Jr
Gender	Male
Speciality	Chiropractor
Location	1640 Powers Ferry Rd Se Ste 175, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124603683
Provider Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7416310594
Enrollment ID: I20230823002105

Medical Identifiers

Medical identifiers for Dr Dale Wesley Disbro Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124603683	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CHIR010515 (Georgia)	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. Dr Dale Wesley Disbro Jr allows following entities to bill medicare on his behalf.

Provider Name	Peak Performance Chiropractic Plc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932250693 PECOS PAC ID: 7012918196 Enrollment ID: O20070117000242

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 Dale Wesley Disbro 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 Dale Wesley Disbro Jr, DC 2695 Delk Rd Se Apt C, Marietta, GA 30067-6209 Ph: (151) 767-7782	Dr Dale Wesley Disbro Jr, DC 1640 Powers Ferry Rd Se Ste 175, Marietta, GA 30067-5491 Ph: (770) 690-8959

Reviews and Comments

Chiropractor in Marietta, GA

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Dr Dale Wesley Disbro Jr, DC - Medicare Chiropractor in Marietta, GA