Lavalette Chiropractic Inc is a medicare enrolled "Chiropractor" provider in Lavalette, West Virginia. Their current practice location is
4600a Route 152, Lavalette, West Virginia. You can reach out to their office (for appointments etc.) via phone at
(304) 522-7246.
Lavalette Chiropractic Inc is licensed to practice in West Virginia (license number 691) and it also participates in the medicare program. Lavalette Chiropractic Inc
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 1548349442.
Healthcare Provider's Profile
Full Name | Lavalette Chiropractic Inc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 4600a Route 152, Lavalette, 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. |
NPI Data:
- NPI Number: 1548349442
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 06/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 3971554767
- Enrollment ID: O20050209000583
Medical Identifiers
Medical identifiers for Lavalette Chiropractic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548349442 | NPI | - | NPPES |
1066162 | Other | WV | WV WORKERS COMP VENDOR |
P00195054 | Other | WV | MEDICARE RAILROAD CARRIER |
7600032000 | Medicaid | WV | |
001720189 | Other | WV | BLUE CROSS BLUE SHIELD ID |
1841233806 | Other | WV | NPI FOR JOHN FRY, DC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 691 (West Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lavalette Chiropractic Inc acts as a billing entity for following providers:
Provider Name | John S Fry |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1841233806 PECOS PAC ID: 2062463854 Enrollment ID: I20050228000358 |
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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. Lavalette Chiropractic Inc 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 |
Lavalette Chiropractic Inc Po Box 1177, Lavalette, WV 25535-1177 Ph: (304) 522-7246 | Lavalette Chiropractic Inc 4600a Route 152, Lavalette, WV 25535 Ph: (304) 522-7246 |
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