Executive Spinal Care, Llc is a medicare enrolled "Chiropractor" provider in Towaco, New Jersey. Their current practice location is
36 Douglas Dr, Towaco, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(973) 477-3470.
Executive Spinal Care, Llc is licensed to practice in New Jersey (license number 38MC00640400) and it also participates in the medicare program. Executive Spinal Care, Llc
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 1497968077.
Healthcare Provider's Profile
Full Name | Executive Spinal Care, Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 36 Douglas Dr, Towaco, New Jersey |
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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: 1497968077
- Provider Enumeration Date: 05/08/2007
- Last Update Date: 11/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 1951472026
- Enrollment ID: O20080617000445
Medical Identifiers
Medical identifiers for Executive Spinal Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497968077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 38MC00640400 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Executive Spinal Care, Llc acts as a billing entity for following providers:
Provider Name | Peter J Walsh |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1124232905 PECOS PAC ID: 3779654843 Enrollment ID: I20080617000438 |
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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. Executive Spinal Care, Llc 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 |
Executive Spinal Care, Llc 36 Douglas Dr, Towaco, NJ 07082-1437 Ph: (973) 477-3470 | Executive Spinal Care, Llc 36 Douglas Dr, Towaco, NJ 07082-1437 Ph: (973) 477-3470 |
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