Masterpeace Chiropractic Center, P.c. is a medicare enrolled "Chiropractor" provider in Lake Ridge, Virginia. Their current practice location is
3302 Old Bridge Rd, Suite Gh, Lake Ridge, Virginia. You can reach out to their office (for appointments etc.) via phone at
(703) 490-4242.
Masterpeace Chiropractic Center, P.c. is licensed to practice in Virginia (license number 0104000675) and it also participates in the medicare program. Masterpeace Chiropractic Center, P.c.
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 1700079092.
Healthcare Provider's Profile
| Full Name | Masterpeace Chiropractic Center, P.c. |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 3302 Old Bridge Rd, Lake Ridge, Virginia |
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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: 1700079092
- Provider Enumeration Date: 08/21/2007
- Last Update Date: 08/21/2007
Medicare PECOS Information:
- PECOS PAC ID: 9739222548
- Enrollment ID: O20100202000526
Medical Identifiers
Medical identifiers for Masterpeace Chiropractic Center, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700079092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 0104000675 (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.
Masterpeace Chiropractic Center, P.c. acts as a billing entity for following providers:
| Provider Name | Gerard J Mannino |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1629125877
PECOS PAC ID: 2567504582
Enrollment ID: I20100128000539 |
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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. Masterpeace Chiropractic Center, P.c. 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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Masterpeace Chiropractic Center, P.c.
3302 Old Bridge Rd, Suite Gh,
Lake Ridge, VA 22192-5262
Ph: (703) 490-4242 | Masterpeace Chiropractic Center, P.c.
3302 Old Bridge Rd, Suite Gh,
Lake Ridge, VA 22192-5262
Ph: (703) 490-4242 |
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