Life Enhancing Wellness Centers, Llc is a medicare enrolled "Chiropractor - Nutrition" provider in Ruckersville, Virginia. Their current practice location is
8881 Seminole Trl, Ruckersville, Virginia. You can reach out to their office (for appointments etc.) via phone at
(434) 481-2012.
Life Enhancing Wellness Centers, Llc is licensed to practice in Virginia (license number 0104556817) and it also participates in the medicare program. Life Enhancing Wellness Centers, Llc
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 1043759863.
Healthcare Provider's Profile
Full Name | Life Enhancing Wellness Centers, Llc |
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Type | Facility |
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Speciality | Chiropractor - Nutrition |
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Location | 8881 Seminole Trl, Ruckersville, 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: 1043759863
- Provider Enumeration Date: 02/13/2017
- Last Update Date: 11/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 4587901053
- Enrollment ID: O20190123000872
Medical Identifiers
Medical identifiers for Life Enhancing Wellness Centers, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043759863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NN1001X | Chiropractor - Nutrition | 0104556817 (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.
Life Enhancing Wellness Centers, Llc acts as a billing entity for following providers:
Provider Name | Demetrios A. Kydonieus |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1316009301 PECOS PAC ID: 2668445248 Enrollment ID: I20110525000523 |
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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 Enhancing Wellness Centers, Llc 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 |
Life Enhancing Wellness Centers, Llc 8881 Seminole Trl, Ruckersville, VA 22968-3448 Ph: (434) 481-2012 | Life Enhancing Wellness Centers, Llc 8881 Seminole Trl, Ruckersville, VA 22968-3448 Ph: (434) 481-2012 |
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