Mountainside Community Wellness Center is a medicare enrolled "Chiropractor" provider in East Thetford, Vermont. Their current practice location is
321 Route 113, East Thetford, Vermont. You can reach out to their office (for appointments etc.) via phone at
(802) 565-0424.
Mountainside Community Wellness Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mountainside Community Wellness Center
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 1386235307.
Healthcare Provider's Profile
| Full Name | Mountainside Community Wellness Center |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 321 Route 113, East Thetford, Vermont |
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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: 1386235307
- Provider Enumeration Date: 02/02/2021
- Last Update Date: 11/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789090325
- Enrollment ID: O20210308000162
Medical Identifiers
Medical identifiers for Mountainside Community Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386235307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mountainside Community Wellness Center acts as a billing entity for following providers:
| Provider Name | Bonny Payne |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1740796523
PECOS PAC ID: 4385904085
Enrollment ID: I20210308000301 |
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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. Mountainside Community Wellness Center 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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Mountainside Community Wellness Center
Po Box 154,
East Thetford, VT 05043-0154
Ph: (802) 565-0424 | Mountainside Community Wellness Center
321 Route 113,
East Thetford, VT 05043
Ph: (802) 565-0424 |
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