Idabel Chiropractic Clinic Pllc is a medicare enrolled "Chiropractor" provider in Idabel, Oklahoma. Their current practice location is
1420 Se Washington St, Idabel, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 286-6546.
Idabel Chiropractic Clinic Pllc is licensed to practice in Oklahoma (license number 3768) and it also participates in the medicare program. Idabel Chiropractic 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 1609888775.
Healthcare Provider's Profile
Full Name | Idabel Chiropractic Clinic Pllc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 1420 Se Washington St, Idabel, Oklahoma |
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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: 1609888775
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 04/21/2009
Medicare PECOS Information:
- PECOS PAC ID: 1759382898
- Enrollment ID: O20070116000504
Medical Identifiers
Medical identifiers for Idabel Chiropractic Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609888775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 3768 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Idabel Chiropractic Clinic Pllc acts as a billing entity for following providers:
Provider Name | Eric L Ensley |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1245271360 PECOS PAC ID: 1850392994 Enrollment ID: I20070116000494 |
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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. Idabel Chiropractic 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 |
Idabel Chiropractic Clinic Pllc 1420 Se Washington St, Idabel, OK 74745-3448 Ph: (580) 286-6546 | Idabel Chiropractic Clinic Pllc 1420 Se Washington St, Idabel, OK 74745-3448 Ph: (580) 286-6546 |
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