Jackson Chiropractic Llc is a medicare enrolled "Chiropractor" provider in Wagener, South Carolina. Their current practice location is
147 Main Street, Wagener, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(803) 564-6000.
Jackson Chiropractic Llc is licensed to practice in South Carolina (license number 3479) and it also participates in the medicare program. Jackson Chiropractic Llc
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 1952731531.
Healthcare Provider's Profile
| Full Name | Jackson Chiropractic Llc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 147 Main Street, Wagener, South Carolina |
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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: 1952731531
- Provider Enumeration Date: 11/19/2013
- Last Update Date: 11/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 6800022757
- Enrollment ID: O20131122001550
Medical Identifiers
Medical identifiers for Jackson Chiropractic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952731531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3479 (South Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jackson Chiropractic Llc acts as a billing entity for following providers:
| Provider Name | Brandy M Jackson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1750687513
PECOS PAC ID: 4981830833
Enrollment ID: I20131122001595 |
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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. Jackson Chiropractic Llc 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 |
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Jackson Chiropractic Llc
Po Box 125,
Wagener, SC 29164-0125
Ph: (803) 564-6000 | Jackson Chiropractic Llc
147 Main Street,
Wagener, SC 29164
Ph: (803) 564-6000 |
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