Hickory Health Clinic Pllc in Forest Lake, MN - Medicare Chiropractor Provider

Hickory Health Clinic Pllc is a medicare enrolled "Chiropractor" provider in Forest Lake, Minnesota. Their current practice location is 168 Lake St S Ste C, Forest Lake, Minnesota. You can reach out to their office (for appointments etc.) via phone at (651) 226-8338.

Hickory Health Clinic Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Hickory Health Clinic Pllc 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 1043841414.

Contact Information

	Hickory Health Clinic Pllc
	168 Lake St S Ste C, Forest Lake, MN 55025-4401
	(651) 226-8338
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hickory Health Clinic Pllc
Type	Facility
Speciality	Chiropractor
Location	168 Lake St S Ste C, Forest Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043841414
Provider Enumeration Date: 02/03/2020
Last Update Date: 02/17/2020

Medicare PECOS Information:

PECOS PAC ID: 1355778853
Enrollment ID: O20200221002627

Medical Identifiers

Medical identifiers for Hickory Health Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043841414	NPI	-	NPPES
51352700	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Hickory Health Clinic Pllc acts as a billing entity for following providers:

Provider Name	Richard Vincent Ottomeyer
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1598752859 PECOS PAC ID: 0042250482 Enrollment ID: I20050909000773

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. Hickory Health Clinic Pllc 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
Hickory Health Clinic Pllc 23315 Itasca Ave N, Forest Lake, MN 55025-8277 Ph: (651) 226-8338	Hickory Health Clinic Pllc 168 Lake St S Ste C, Forest Lake, MN 55025-4401 Ph: (651) 226-8338

Reviews and Comments

Chiropractor in Forest Lake, MN

Kyle Lewis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 591 N Shore Dr, Forest Lake, MN 55025 Phone: 651-464-2133 Fax: 651-982-6903
Dr. Steven Z Johnson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 662 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7541
Bracht Chiropractic, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15226 W Freeway Dr Ne, Forest Lake, MN 55025 Phone: 651-464-3643 Fax: 651-464-2022
Dr. Ward Henry Lewis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 591 N Shore Dr, Forest Lake, MN 55025 Phone: 651-464-2133 Fax: 651-982-6903
Dr. David Jeffrey Lewis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 591 N Shore Dr, Forest Lake, MN 55025 Phone: 651-464-2133 Fax: 651-982-6903
Marie Rose Josee Gerard, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 255 Highway 97 Unit 2a, Forest Lake, MN 55025 Phone: 651-464-0800

Hickory Health Clinic Pllc - Medicare Chiropractor in Forest Lake, MN