Ideal Health And Wellness, Sc, Corp is a medicare enrolled "Family Medicine" provider in Davenport, Iowa. Their current practice location is
1850 E 53rd St Ste 2, Davenport, Iowa. You can reach out to their office (for appointments etc.) via phone at
(563) 359-4106.
Ideal Health And Wellness, Sc, Corp is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ideal Health And Wellness, Sc, Corp
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 1689013393.
Healthcare Provider's Profile
| Full Name | Ideal Health And Wellness, Sc, Corp |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 1850 E 53rd St Ste 2, Davenport, Iowa |
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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: 1689013393
- Provider Enumeration Date: 06/17/2013
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658597919
- Enrollment ID: O20171017001879
Medical Identifiers
Medical identifiers for Ideal Health And Wellness, Sc, Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689013393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 083863 (Iowa) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 111NI0900X | Chiropractor - Internist | 038012020 (Illinois) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (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.
Ideal Health And Wellness, Sc, Corp acts as a billing entity for following providers:
| Provider Name | Kathryn R Frega |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1790067783
PECOS PAC ID: 6800050931
Enrollment ID: I20171017002191 |
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| Provider Name | Ashley A Campbell |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1518434380
PECOS PAC ID: 4587918925
Enrollment ID: I20181121000800 |
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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. Ideal Health And Wellness, Sc, Corp 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 |
|---|
Ideal Health And Wellness, Sc, Corp
1850 E 53rd St Ste 2,
Davenport, IA 52807-2784
Ph: (563) 359-4106 | Ideal Health And Wellness, Sc, Corp
1850 E 53rd St Ste 2,
Davenport, IA 52807-2784
Ph: (563) 359-4106 |
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