Goodyear Chiropractic Health Center. S.c. is a medicare enrolled "Massage Therapist" provider in Glendale, Wisconsin. Their current practice location is
5261 N Port Washington Rd, Glendale, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(414) 332-6001.
Goodyear Chiropractic Health Center. S.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Goodyear Chiropractic Health Center. S.c.
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 1326126434.
Healthcare Provider's Profile
| Full Name | Goodyear Chiropractic Health Center. S.c. |
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| Type | Facility |
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| Speciality | Massage Therapist |
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| Location | 5261 N Port Washington Rd, Glendale, Wisconsin |
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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: 1326126434
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901908201
- Enrollment ID: O20070216000111
Medical Identifiers
Medical identifiers for Goodyear Chiropractic Health Center. S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326126434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3825-012 (Wisconsin) | Primary |
| 111NR0400X | Chiropractor - Rehabilitation | 3825-012 (Wisconsin) | Primary |
| 111NS0005X | Chiropractor - Sports Physician | (* (Not Available)) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (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.
Goodyear Chiropractic Health Center. S.c. acts as a billing entity for following providers:
| Provider Name | Andrew C Stopczynski |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1083774152
PECOS PAC ID: 0042297780
Enrollment ID: I20040701000405 |
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| Provider Name | Corey J Schneider |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1497833636
PECOS PAC ID: 0547362832
Enrollment ID: I20070216000107 |
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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. Goodyear Chiropractic Health Center. S.c. 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 |
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Goodyear Chiropractic Health Center. S.c.
5261 N Port Washington Rd,
Glendale, WI 53217-4903
Ph: (414) 332-6001 | Goodyear Chiropractic Health Center. S.c.
5261 N Port Washington Rd,
Glendale, WI 53217-4903
Ph: (414) 332-6001 |
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