Fountain Chiropractic And Wellness Center is a medicare enrolled "Chiropractor - Neurology" provider in Fountain, Colorado. Their current practice location is
468 N. Santa Fe Ave, Fountain, Colorado. You can reach out to their office (for appointments etc.) via phone at
(719) 799-6555.
Fountain Chiropractic And Wellness Center is licensed to practice in Colorado (license number 0007180) and it also participates in the medicare program. Fountain Chiropractic And Wellness Center
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 1356704001.
Healthcare Provider's Profile
Full Name | Fountain Chiropractic And Wellness Center |
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Type | Facility |
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Speciality | Chiropractor - Neurology |
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Location | 468 N. Santa Fe Ave, Fountain, Colorado |
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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: 1356704001
- Provider Enumeration Date: 03/31/2016
- Last Update Date: 03/31/2016
Medicare PECOS Information:
- PECOS PAC ID: 8921306135
- Enrollment ID: O20160420002066
Medical Identifiers
Medical identifiers for Fountain Chiropractic And Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356704001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NN0400X | Chiropractor - Neurology | 0007180 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fountain Chiropractic And Wellness Center acts as a billing entity for following providers:
Provider Name | Jarod K Waters |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1093968430 PECOS PAC ID: 7719024660 Enrollment ID: I20160420002020 |
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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. Fountain Chiropractic And Wellness Center 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 |
Fountain Chiropractic And Wellness Center 468 N. Santa Fe Ave, Fountain, CO 80817 Ph: (719) 799-6555 | Fountain Chiropractic And Wellness Center 468 N. Santa Fe Ave, Fountain, CO 80817 Ph: (719) 799-6555 |
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