Kelly Grace Wynkoop, DC in Manhattan Beach, CA - Medicare Chiropractor Provider

Kelly Grace Wynkoop, DC is a medicare enrolled "Chiropractor" provider in Manhattan Beach, California. Her current practice location is 400 S Sepulveda Blvd Ste 247, Manhattan Beach, California. You can reach out to her office (for appointments etc.) via phone at (310) 798-6496.

Kelly Grace Wynkoop is licensed to practice in California (license number 36764) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184404196.

Contact Information

	Kelly Grace Wynkoop, DC
	400 S Sepulveda Blvd Ste 247, Manhattan Beach, CA 90266-6876
	(310) 798-6496
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Grace Wynkoop
Gender	Female
Speciality	Chiropractor
Location	400 S Sepulveda Blvd Ste 247, Manhattan Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184404196
Provider Enumeration Date: 10/05/2023
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 6608226519
Enrollment ID: I20231219000507

Medical Identifiers

Medical identifiers for Kelly Grace Wynkoop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184404196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	36764 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Grace Wynkoop allows following entities to bill medicare on her behalf.

Provider Name	Beach Cities Orthopedics And Sports Medicine
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750539672 PECOS PAC ID: 7517014251 Enrollment ID: O20090415000058

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. Kelly Grace Wynkoop 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
Kelly Grace Wynkoop, DC 936 1st St Apt 2, Hermosa Beach, CA 90254-5365 Ph: (631) 384-2511	Kelly Grace Wynkoop, DC 400 S Sepulveda Blvd Ste 247, Manhattan Beach, CA 90266-6876 Ph: (310) 798-6496

Reviews and Comments

Chiropractor in Manhattan Beach, CA

William John Cogan, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 204 Kelp St, Manhattan Beach, CA 90266 Phone: 310-498-1230
Victoria Marie Hall, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 Phone: 310-546-3461
Christopher L Palmer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3217 Highland Ave, Manhattan Beach, CA 90266 Phone: 310-200-5995
Theresa M Tarcha, Chiropractor Medicare: Medicare Enrolled Practice Location: 3770 Highland Ave 105, Manhattan Beach, CA 90266 Phone: 310-318-9543
Julia R. Moen Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 S. Sepulveda Blvd, Suite 247, Manhattan Beach, CA 90266 Phone: 310-374-1952
Dr. Mitchell Norman Spirt, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 N Sepulveda Blvd, #b, Manhattan Beach, CA 90266 Phone: 310-418-3223

Kelly Grace Wynkoop, DC - Medicare Chiropractor in Manhattan Beach, CA