Dynamic Integrative Health Pc is a medicare enrolled "General Practice" provider in Fresno, California. Their current practice location is
1382 E Alluvial Ave Ste 106, Fresno, California. You can reach out to their office (for appointments etc.) via phone at
(559) 432-9700.
Dynamic Integrative Health Pc is licensed to practice in California (license number A32806) and it also participates in the medicare program. Dynamic Integrative Health Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1821462904.
Healthcare Provider's Profile
Full Name | Dynamic Integrative Health Pc |
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Type | Facility |
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Speciality | General Practice |
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Location | 1382 E Alluvial Ave Ste 106, Fresno, California |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821462904
- Provider Enumeration Date: 11/30/2015
- Last Update Date: 01/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 1951605146
- Enrollment ID: O20160209001248
Medical Identifiers
Medical identifiers for Dynamic Integrative Health Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821462904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | DC32064 (* (Not Available)) | Secondary |
111N00000X | Chiropractor | DC29486 (* (Not Available)) | Secondary |
208D00000X | General Practice | A32806 (California) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dynamic Integrative Health Pc acts as a billing entity for following providers:
Provider Name | Christopher J Long |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1114969094 PECOS PAC ID: 9436109501 Enrollment ID: I20050126000674 |
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Provider Name | Shane Seibert |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1295016723 PECOS PAC ID: 2365617149 Enrollment ID: I20111206000290 |
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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. Dynamic Integrative Health Pc 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 |
Dynamic Integrative Health Pc 1382 E Alluvial Ave, Suite 106, Fresno, CA 93720-2699 Ph: (559) 432-9700 | Dynamic Integrative Health Pc 1382 E Alluvial Ave Ste 106, Fresno, CA 93720-2699 Ph: (559) 432-9700 |
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