Incline Chiropractic is a medicare enrolled "Chiropractor" provider in Incline Vlg, Nevada. Their current practice location is
894 Southwood Blvd, Incline Vlg, Nevada. You can reach out to their office (for appointments etc.) via phone at
(775) 831-5544.
Incline Chiropractic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Incline Chiropractic
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 1851925226.
Healthcare Provider's Profile
| Full Name | Incline Chiropractic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 894 Southwood Blvd, Incline Vlg, Nevada |
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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: 1851925226
- Provider Enumeration Date: 02/25/2020
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749605087
- Enrollment ID: O20200804002796
Medical Identifiers
Medical identifiers for Incline Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851925226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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.
Incline Chiropractic acts as a billing entity for following providers:
| Provider Name | Amy Vevoda |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1740209931
PECOS PAC ID: 0547268989
Enrollment ID: I20190524000452 |
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| Provider Name | Jonathan Malley |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1902429384
PECOS PAC ID: 6002235579
Enrollment ID: I20201001003045 |
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| Provider Name | Emma Genevieve Freeze |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1871287631
PECOS PAC ID: 4385008929
Enrollment ID: I20230914002168 |
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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. Incline Chiropractic 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 |
|---|
Incline Chiropractic
894 Southwood Blvd,
Incline Vlg, NV 89451-9435
Ph: (775) 831-5544 | Incline Chiropractic
894 Southwood Blvd,
Incline Vlg, NV 89451-9435
Ph: (775) 831-5544 |
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