Dr Kendall Ray Paulson, DC is a medicare enrolled "Chiropractor" provider in Rose City, Michigan. He went to Life Chiropractic College - West and graduated in 1987 and has 37 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Rose City Chiropractic Clinic, P.c. and his current practice location is
3292 N M 33, Rose City, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 685-2631.
Dr Kendall Ray Paulson is licensed to practice in Michigan (license number 2301006841) 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 1174515639.
Healthcare Provider's Profile
Full Name | Dr Kendall Ray Paulson |
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Gender | Male |
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Speciality | Chiropractic |
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Experience | 37 Years |
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Location | 3292 N M 33, Rose City, Michigan |
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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. |
Medical Education and Training:
- Dr Kendall Ray Paulson attended and graduated from Life Chiropractic College - West in 1987
NPI Data:
- NPI Number: 1174515639
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 03/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 1052480787
- Enrollment ID: I20080520000790
Medical Identifiers
Medical identifiers for Dr Kendall Ray Paulson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174515639 | NPI | - | NPPES |
950F550270 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 2301006841 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Rose City Chiropractic Clinic, P.c. | 7315016045 | 2 |
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 Kendall Ray Paulson allows following entities to bill medicare on his behalf.
Provider Name | Rose City Chiropractic Clinic, P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1073656112 PECOS PAC ID: 7315016045 Enrollment ID: O20080520000797 |
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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 Kendall Ray Paulson 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 Kendall Ray Paulson, DC 3292 N M 33, P O Box 27, Rose City, MI 48654-9416 Ph: (989) 685-2631 | Dr Kendall Ray Paulson, DC 3292 N M 33, Rose City, MI 48654-9416 Ph: (989) 685-2631 |
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