Lakeside Chiropractic is a medicare enrolled "Chiropractor" provider in Mount Nebo, West Virginia. Their current practice location is
245 Campsite Road, Mount Nebo, West Virginia. You can reach out to their office (for appointments etc.) via phone at
(304) 619-1912.
Lakeside Chiropractic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lakeside 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 1093040289.
Healthcare Provider's Profile
| Full Name | Lakeside Chiropractic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 245 Campsite Road, Mount Nebo, West Virginia |
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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: 1093040289
- Provider Enumeration Date: 10/06/2009
- Last Update Date: 10/06/2009
Medicare PECOS Information:
- PECOS PAC ID: 9436298932
- Enrollment ID: O20091123000103
Medical Identifiers
Medical identifiers for Lakeside Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093040289 | 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.
Lakeside Chiropractic acts as a billing entity for following providers:
| Provider Name | Nunzio Peter Pagano |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1639279730
PECOS PAC ID: 1254351042
Enrollment ID: I20091119000386 |
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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. Lakeside 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 |
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Lakeside Chiropractic
Po Box 353,
Mount Nebo, WV 26679-0353
Ph: (304) 619-1912 | Lakeside Chiropractic
245 Campsite Road,
Mount Nebo, WV 26679
Ph: (304) 619-1912 |
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