Late Night Chiropractic Pllc is a medicare enrolled "Chiropractor" provider in Stilwell, Oklahoma. Their current practice location is
102 W Pine St, Stilwell, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(918) 696-7220.
Late Night Chiropractic Pllc is licensed to practice in Oklahoma (license number 3496) and it also participates in the medicare program. Late Night Chiropractic Pllc
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 1407802986.
Healthcare Provider's Profile
| Full Name | Late Night Chiropractic Pllc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 102 W Pine St, Stilwell, Oklahoma |
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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: 1407802986
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254431497
- Enrollment ID: O20070717000381
Medical Identifiers
Medical identifiers for Late Night Chiropractic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407802986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3496 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Late Night Chiropractic Pllc acts as a billing entity for following providers:
| Provider Name | Tina M Southworth |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1023058625
PECOS PAC ID: 3173536547
Enrollment ID: I20060801000453 |
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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. Late Night Chiropractic Pllc 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 |
|---|
Late Night Chiropractic Pllc
102 W Pine St,
Stilwell, OK 74960-2652
Ph: (918) 696-7220 | Late Night Chiropractic Pllc
102 W Pine St,
Stilwell, OK 74960-2652
Ph: (918) 696-7220 |
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