Mr Paul David Ravener, DC in Port Jefferson Station, NY

Mr Paul David Ravener, DC is a medicare enrolled "Chiropractor" provider in Port Jefferson Station, New York. His current practice location is 298 Canal Rd., Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at (631) 928-0192.

Mr Paul David Ravener is licensed to practice in New York (license number 3502) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104916998.

Contact Information

	Mr Paul David Ravener, DC
	298 Canal Rd., Port Jefferson Station, NY 11776-3020
	(631) 928-0192
	(631) 928-0253

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul David Ravener
Gender	Male
Speciality	Chiropractor
Location	298 Canal Rd., Port Jefferson Station, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104916998
Provider Enumeration Date: 10/13/2006
Last Update Date: 10/06/2015

Medicare PECOS Information:

PECOS PAC ID: 6103990023
Enrollment ID: I20080811000246

Medical Identifiers

Medical identifiers for Mr Paul David Ravener such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104916998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	3502 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Paul David Ravener allows following entities to bill medicare on his behalf.

Provider Name	Lake Chiropractic, Pllc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972803104 PECOS PAC ID: 5991963852 Enrollment ID: O20120223000081

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. Mr Paul David Ravener 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
Mr Paul David Ravener, DC 298 Canal Rd., Port Jefferson Station, NY 11776-3020 Ph: (631) 928-0192	Mr Paul David Ravener, DC 298 Canal Rd., Port Jefferson Station, NY 11776-3020 Ph: (631) 928-0192

Reviews and Comments

Chiropractor in Port Jefferson Station, NY

In Motion Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 59 Dorothy St, Port Jefferson Station, NY 11776 Phone: 888-959-0712 Fax: 888-959-0712
Thomas Anthony Fiordalisi, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 671 Old Town Rd, Port Jefferson Station, NY 11776 Phone: 631-642-2388 Fax: 631-642-2011
Pure Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 671 Old Town Rd, Port Jefferson Station, NY 11776 Phone: 631-642-2388
Dr. Lisa Ann Lepore, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18 Andover Dr, Port Jefferson Station, NY 11776 Phone: 631-474-1743 Fax: 631-474-1770
Dr. Sophia Vivian Lin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 379 Old Town Rd, Port Jefferson Station, NY 11776 Phone: 631-680-7368
Sophia A Argeropoulos Dc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 9 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-473-8182 Fax: 631-473-8182

Mr Paul David Ravener, DC - Medicare Chiropractor in Port Jefferson Station, NY