Dr Stacey Marie Kisting, DC in Moline, IL - Medicare Chiropractor Provider

Dr Stacey Marie Kisting, DC is a medicare enrolled "Chiropractor" provider in Moline, Illinois. Her current practice location is 3450 38th Ave, Ste 4, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 764-7200.

Dr Stacey Marie Kisting is licensed to practice in Illinois (license number ) 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 1093896094.

Contact Information

	Dr Stacey Marie Kisting, DC
	3450 38th Ave, Ste 4, Moline, IL 61265-6409
	(309) 764-7200
	(309) 764-7750

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stacey Marie Kisting
Gender	Female
Speciality	Chiropractor
Location	3450 38th Ave, Moline, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093896094
Provider Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7911232194
Enrollment ID: I20190710001507

Medical Identifiers

Medical identifiers for Dr Stacey Marie Kisting such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093896094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	(Illinois)	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 Stacey Marie Kisting allows following entities to bill medicare on her behalf.

Provider Name	Vita Nova Limited Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659919090 PECOS PAC ID: 3870921463 Enrollment ID: O20200313000709

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 Stacey Marie Kisting 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 Stacey Marie Kisting, DC 5313 11th Avenue B, Moline, IL 61265-2866 Ph: (309) 764-7200	Dr Stacey Marie Kisting, DC 3450 38th Ave, Ste 4, Moline, IL 61265-6409 Ph: (309) 764-7200

Reviews and Comments

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Dr Stacey Marie Kisting, DC - Medicare Chiropractor in Moline, IL