Health Source Kc Inc is a medicare enrolled "Chiropractor" provider in Roeland Park, Kansas. Their current practice location is
5228 Juniper Dr, Roeland Park, Kansas. You can reach out to their office (for appointments etc.) via phone at
(816) 294-2281.
Health Source Kc Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Health Source Kc Inc
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 1841645686.
Healthcare Provider's Profile
| Full Name | Health Source Kc Inc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 5228 Juniper Dr, Roeland Park, Kansas |
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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: 1841645686
- Provider Enumeration Date: 04/29/2016
- Last Update Date: 05/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 5193015915
- Enrollment ID: O20160608000186
Medical Identifiers
Medical identifiers for Health Source Kc Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841645686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 111NR0400X | Chiropractor - Rehabilitation | (* (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.
Health Source Kc Inc acts as a billing entity for following providers:
| Provider Name | Ryan M Nadolski |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1972925139
PECOS PAC ID: 7012230386
Enrollment ID: I20160608000306 |
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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. Health Source Kc Inc 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 |
|---|
Health Source Kc Inc
5424 Johnson Dr,
Mission, KS 66205-2911
Ph: (816) 294-2281 | Health Source Kc Inc
5228 Juniper Dr,
Roeland Park, KS 66205-2124
Ph: (816) 294-2281 |
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