Life Clinic Of Nj Dc Pa is a medicare enrolled "Chiropractor" provider in Plainsborough, New Jersey. Their current practice location is
7 Forrestal Road S, Plainsborough, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(612) 868-6894.
Life Clinic Of Nj Dc Pa is licensed to practice in New Jersey (license number 38MC00735800) and it also participates in the medicare program. Life Clinic Of Nj Dc Pa
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 1720575178.
Healthcare Provider's Profile
| Full Name | Life Clinic Of Nj Dc Pa |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 7 Forrestal Road S, Plainsborough, New Jersey |
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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: 1720575178
- Provider Enumeration Date: 04/20/2018
- Last Update Date: 04/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 4789917626
- Enrollment ID: O20190610000918
Medical Identifiers
Medical identifiers for Life Clinic Of Nj Dc Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720575178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 38MC00735800 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Life Clinic Of Nj Dc Pa acts as a billing entity for following providers:
| Provider Name | Logan W Luzadder |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1356894117
PECOS PAC ID: 9133494008
Enrollment ID: I20171003003937 |
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| Provider Name | Ian Raphael Barry |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1417412966
PECOS PAC ID: 1759621543
Enrollment ID: I20190313002517 |
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| Provider Name | Roger Mitchell |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1326562034
PECOS PAC ID: 6103198692
Enrollment ID: I20190722003436 |
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| Provider Name | Vincent J Martino |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1962538223
PECOS PAC ID: 1456798073
Enrollment ID: I20240319001302 |
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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. Life Clinic Of Nj Dc Pa 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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Life Clinic Of Nj Dc Pa
Po Box 549,
Chanhassen, MN 55317-0549
Ph: (612) 868-6894 | Life Clinic Of Nj Dc Pa
7 Forrestal Road S,
Plainsborough, NJ 08536
Ph: (612) 868-6894 |
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