Lighthouse Chiropractic, Pc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Providence, Rhode Island. Their current practice location is
717 Allens Ave, Providence, Rhode Island. You can reach out to their office (for appointments etc.) via phone at
(401) 751-6568.
Lighthouse Chiropractic, Pc is licensed to practice in Rhode Island (license number MD14078) and it also participates in the medicare program. Lighthouse Chiropractic, Pc
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 1639495278.
Healthcare Provider's Profile
Full Name | Lighthouse Chiropractic, Pc |
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Type | Facility |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 717 Allens Ave, Providence, Rhode Island |
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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: 1639495278
- Provider Enumeration Date: 04/07/2010
- Last Update Date: 11/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 4183800279
- Enrollment ID: O20110526000242
Medical Identifiers
Medical identifiers for Lighthouse Chiropractic, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639495278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 346 (Rhode Island) | Secondary |
208100000X | Physical Medicine & Rehabilitation | MD14078 (Rhode Island) | Primary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD14078 (Rhode Island) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lighthouse Chiropractic, Pc acts as a billing entity for following providers:
Provider Name | Ronald J Tyszkowski |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1336187004 PECOS PAC ID: 2466442983 Enrollment ID: I20040517000603 |
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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. Lighthouse Chiropractic, Pc 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 |
Lighthouse Chiropractic, Pc Po Box 9117, Warwick, RI 02889-0117 Ph: (401) 751-6568 | Lighthouse Chiropractic, Pc 717 Allens Ave, Providence, RI 02905-5412 Ph: (401) 751-6568 |
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