Main Street Chiropractic, Llc is a medicare enrolled "Nurse Practitioner - Family" provider in Nashua, New Hampshire. Their current practice location is
382 Main St, Nashua, New Hampshire. You can reach out to their office (for appointments etc.) via phone at
(603) 882-5742.
Main Street Chiropractic, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Main Street Chiropractic, 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 1154752392.
Healthcare Provider's Profile
| Full Name | Main Street Chiropractic, Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 382 Main St, Nashua, New Hampshire |
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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: 1154752392
- Provider Enumeration Date: 12/12/2013
- Last Update Date: 04/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325260409
- Enrollment ID: O20141104002350
Medical Identifiers
Medical identifiers for Main Street Chiropractic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154752392 | NPI | - | NPPES |
| 0023867 | Other | NH | MEDICARE |
| 615742 | Other | NH | OPTUM |
| 2612118 | Other | NH | UNITED |
| 3557492 | Other | NH | CIGNA |
| AA228827 | Other | NH | HARVARD |
| 12289121 | Other | NH | CAQH |
| 5554684 | Other | NH | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 1120493 (New Hampshire) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Main Street Chiropractic, Llc acts as a billing entity for following providers:
| Provider Name | Jerrilyn N Sullivan |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1609192970
PECOS PAC ID: 6204008303
Enrollment ID: I20111014000333 |
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| Provider Name | Noah Gosselin |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1700501913
PECOS PAC ID: 7810362142
Enrollment ID: I20230418002379 |
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| Provider Name | Melissa Teixeira |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1194208363
PECOS PAC ID: 4082951132
Enrollment ID: I20230504001160 |
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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. Main Street Chiropractic, 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 |
|---|
Main Street Chiropractic, Llc
382 Main St,
Nashua, NH 03060-5046
Ph: (603) 882-5742 | Main Street Chiropractic, Llc
382 Main St,
Nashua, NH 03060-5046
Ph: (603) 882-5742 |
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