Dr Jay D Koontz, DC is a medicare enrolled "Chiropractor" provider in North Webster, Indiana. He went to Palmer College Chiropractic - Davenport and graduated in 1997 and has 27 years of diverse experience with area of expertise as Chiropractic. His current practice location is
118 S Main St, North Webster, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 834-7855.
Dr Jay D Koontz is licensed to practice in Indiana (license number 08001901A) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1801956404.
Healthcare Provider's Profile
| Full Name | Dr Jay D Koontz |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 27 Years |
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| Location | 118 S Main St, North Webster, Indiana |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jay D Koontz attended and graduated from Palmer College Chiropractic - Davenport in 1997
NPI Data:
- NPI Number: 1801956404
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 02/12/2010
Medicare PECOS Information:
- PECOS PAC ID: 4385659333
- Enrollment ID: I20060213000109
Medical Identifiers
Medical identifiers for Dr Jay D Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801956404 | NPI | - | NPPES |
| 000000210120 | Other | IN | ANTHEM BC BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 08001901A (Indiana) | 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 Jay D Koontz allows following entities to bill medicare on his behalf.
| Provider Name | Lakeland Spinal Health Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1215258546
PECOS PAC ID: 9335270164
Enrollment ID: O20100623000401 |
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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. Dr Jay D Koontz 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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Dr Jay D Koontz, DC
Po Box 579,
North Webster, IN 46555-0579
Ph: (574) 834-7855 | Dr Jay D Koontz, DC
118 S Main St,
North Webster, IN 46555
Ph: (574) 834-7855 |
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