Dr Justin Wade Fogo, DC is a medicare enrolled "Chiropractor" provider in Chelsea, Alabama. He went to Cleveland Chiropractic College - Kansas City and graduated in 2001 and has 23 years of diverse experience with area of expertise as Chiropractic. His current practice location is
398 Chesser Road, Suite 2, Chelsea, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 678-1000.
Dr Justin Wade Fogo is licensed to practice in Alabama (license number 2069) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417167271.
Healthcare Provider's Profile
| Full Name | Dr Justin Wade Fogo |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 23 Years |
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| Location | 398 Chesser Road, Chelsea, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Justin Wade Fogo attended and graduated from Cleveland Chiropractic College - Kansas City in 2001
NPI Data:
- NPI Number: 1417167271
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 04/28/2010
Medicare PECOS Information:
- PECOS PAC ID: 1658278643
- Enrollment ID: I20031217000801
Medical Identifiers
Medical identifiers for Dr Justin Wade Fogo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417167271 | NPI | - | NPPES |
| 51525708 | Other | AL | BCBS PROVIDER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 2069 (Alabama) | 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 Justin Wade Fogo allows following entities to bill medicare on his behalf.
| Provider Name | Chelsea Chiropractic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851758585
PECOS PAC ID: 8123047677
Enrollment ID: O20051115000179 |
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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 Justin Wade Fogo 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 Justin Wade Fogo, DC
398 Chesser Road, Suite 2,
Chelsea, AL 35043
Ph: (205) 678-1000 | Dr Justin Wade Fogo, DC
398 Chesser Road, Suite 2,
Chelsea, AL 35043
Ph: (205) 678-1000 |
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