Fortitude Chiropractic And Wellness is a medicare enrolled "Chiropractor" provider in Canton, Mississippi. Their current practice location is
115 Aulenbrock Dr Ste B, Canton, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(601) 691-9136.
Fortitude Chiropractic And Wellness is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fortitude Chiropractic And Wellness
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 1568135820.
Healthcare Provider's Profile
| Full Name | Fortitude Chiropractic And Wellness |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 115 Aulenbrock Dr Ste B, Canton, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568135820
- Provider Enumeration Date: 07/31/2021
- Last Update Date: 03/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870950611
- Enrollment ID: O20230608003408
Medical Identifiers
Medical identifiers for Fortitude Chiropractic And Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568135820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fortitude Chiropractic And Wellness acts as a billing entity for following providers:
| Provider Name | Lindsey Liles |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1164984159
PECOS PAC ID: 4789041526
Enrollment ID: I20230608003454 |
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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. Fortitude Chiropractic And Wellness 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 |
|---|
Fortitude Chiropractic And Wellness
551 E Peace St,
Canton, MS 39046-4712
Ph: () - | Fortitude Chiropractic And Wellness
115 Aulenbrock Dr Ste B,
Canton, MS 39046-7061
Ph: (601) 691-9136 |
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