Dr Jacqueline Connolly, DC in Marina Del Rey, CA - Medicare Chiropractor Provider

Dr Jacqueline Connolly, DC is a medicare enrolled "Chiropractor" provider in Marina Del Rey, California. Her current practice location is 4560 Admiralty Way, Suite 252, Marina Del Rey, California. You can reach out to her office (for appointments etc.) via phone at (310) 306-4828.

Dr Jacqueline Connolly is licensed to practice in California (license number 30739) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043456494.

Contact Information

	Dr Jacqueline Connolly, DC
	4560 Admiralty Way, Suite 252, Marina Del Rey, CA 90292-5423
	(310) 306-4828
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacqueline Connolly
Gender	Female
Speciality	Chiropractor
Location	4560 Admiralty Way, Marina Del Rey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043456494
Provider Enumeration Date: 01/06/2009
Last Update Date: 05/31/2011

Medicare PECOS Information:

PECOS PAC ID: 3072660257
Enrollment ID: I20090403000178

Medical Identifiers

Medical identifiers for Dr Jacqueline Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043456494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	30739 (California)	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 Jacqueline Connolly allows following entities to bill medicare on her behalf.

Provider Name	Chiroasis A Connolly Chiropractic Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104064849 PECOS PAC ID: 0244387421 Enrollment ID: O20090403000199

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 Jacqueline Connolly 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 Jacqueline Connolly, DC 4712 Admiralty Way, 179, Marina Del Rey, CA 90292-6905 Ph: (310) 306-4828	Dr Jacqueline Connolly, DC 4560 Admiralty Way, Suite 252, Marina Del Rey, CA 90292-5423 Ph: (310) 306-4828

Reviews and Comments

Chiropractor in Marina Del Rey, CA

Brad Foote, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-392-7889
Dr. David Michael Reed, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13356 Beach Ave, Marina Del Rey, CA 90292 Phone: 310-437-4371 Fax: 310-437-4372
Dr. Luis Albert Japngie, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 Phone: 310-266-2980
Chiroasis A Connolly Chiropractic Corporation Chiropractor Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way, Suite 252, Marina Del Rey, CA 90292 Phone: 310-306-4828
Dr. Aria Yarmand, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13400 Washington Blvd, Suite 105, Marina Del Rey, CA 90292 Phone: 310-622-4513 Fax: 310-578-9288
Gabriel Altman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3701 Via Dolce, Marina Del Rey, CA 90292 Phone: 310-383-0599

Dr Jacqueline Connolly, DC - Medicare Chiropractor in Marina Del Rey, CA