Dr Kelly Dale Fountain, DC in Port Townsend, WA - Medicare Chiropractic Provider

Dr Kelly Dale Fountain, DC is a medicare enrolled "Chiropractor" provider in Port Townsend, Washington. She went to Life Chiropractic College - West and graduated in 1986 and has 38 years of diverse experience with area of expertise as Chiropractic. Her current practice location is 1330 Lawrence St, Port Townsend, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 385-0322.

Dr Kelly Dale Fountain is licensed to practice in Washington (license number CH00002812) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1548389786.

Contact Information

	Dr Kelly Dale Fountain, DC
	1330 Lawrence St, Port Townsend, WA 98368-6555
	(360) 385-0322
	(360) 385-5626

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly Dale Fountain
Gender	Female
Speciality	Chiropractic
Experience	38 Years
Location	1330 Lawrence St, Port Townsend, Washington
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelly Dale Fountain attended and graduated from Life Chiropractic College - West in 1986

NPI Data:

NPI Number: 1548389786
Provider Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5991733602
Enrollment ID: I20050802001257

Medical Identifiers

Medical identifiers for Dr Kelly Dale Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548389786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CH00002812 (Washington)	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 Kelly Dale Fountain allows following entities to bill medicare on her behalf.

Provider Name	Dale Fountain, Dc, Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1144472036 PECOS PAC ID: 3678635760 Enrollment ID: O20081226000009

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 Kelly Dale Fountain 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 Kelly Dale Fountain, DC 1330 Lawrence St, Port Townsend, WA 98368-6555 Ph: (360) 385-0322	Dr Kelly Dale Fountain, DC 1330 Lawrence St, Port Townsend, WA 98368-6555 Ph: (360) 385-0322

Reviews and Comments

Chiropractor in Port Townsend, WA

Dr. Edward Michael Bednarz, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2041 East Sims Way, Port Townsend, WA 98368 Phone: 360-301-1596
Dr. Melissa Beth Carlson-michaels, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1330 Lawrence St, Port Townsend, WA 98368 Phone: 360-385-0322 Fax: 360-385-5626
Davis Chiropractic, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 1233 W Sims Way, Port Townsend, WA 98368 Phone: 360-385-0280 Fax: 360-385-5452
Fountain Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 2041 E Sims Way, Port Townsend, WA 98368 Phone: 360-379-9284 Fax: 360-379-5585
Carlson Chiropractic Center, Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 1330 Lawrence St, Port Townsend, WA 98368 Phone: 360-385-0322 Fax: 360-385-5626
Geoffrey Masci, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1233 W Sims Way, Port Townsend, WA 98368 Phone: 360-385-0280 Fax: 360-385-5452
Dr. C J Davis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1233 W Sims Way, Port Townsend, WA 98368 Phone: 360-385-0280 Fax: 360-385-5452

Dr Kelly Dale Fountain, DC - Medicare Chiropractor in Port Townsend, WA