Mr Richard Kim Etheredge, DC in Fruitland Park, FL

Mr Richard Kim Etheredge, DC is a medicare enrolled "Chiropractor" provider in Fruitland Park, Florida. He went to Palmer College Chiropractic - Davenport and graduated in 1987 and has 37 years of diverse experience with area of expertise as Chiropractic. His current practice location is 3261 Us Highway 441/27, Fruitland Park, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 365-1191.

Mr Richard Kim Etheredge is licensed to practice in Florida (license number CH5758) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780795294.

Contact Information

	Mr Richard Kim Etheredge, DC
	3261 Us Highway 441/27, Fruitland Park, FL 34731-4497
	(352) 365-1191
	(352) 365-0330

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Richard Kim Etheredge
Gender	Male
Speciality	Chiropractic
Experience	37 Years
Location	3261 Us Highway 441/27, Fruitland Park, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Richard Kim Etheredge attended and graduated from Palmer College Chiropractic - Davenport in 1987

NPI Data:

NPI Number: 1780795294
Provider Enumeration Date: 08/31/2006
Last Update Date: 02/16/2012

Medicare PECOS Information:

PECOS PAC ID: 3476524505
Enrollment ID: I20120222000512

Medical Identifiers

Medical identifiers for Mr Richard Kim Etheredge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780795294	NPI	-	NPPES
22261	Other	FL	BC
380121700	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CH5758 (Florida)	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 Richard Kim Etheredge allows following entities to bill medicare on his behalf.

Provider Name	Etheredge Chiropractic Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003905084 PECOS PAC ID: 0042281172 Enrollment ID: O20040803000952

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 Richard Kim Etheredge 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 Richard Kim Etheredge, DC 3261 Us Highway 27/441, Fruitland Park, FL 34731-4497 Ph: (352) 365-1191	Mr Richard Kim Etheredge, DC 3261 Us Highway 441/27, Fruitland Park, FL 34731-4497 Ph: (352) 365-1191

Reviews and Comments

Chiropractor in Fruitland Park, FL

Etheredge Chiropractic Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 3261 Us Hwy 27/441, Fruitland Park, FL 34731 Phone: 352-365-1191 Fax: 352-365-0330
Restoration Spine And Sport, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1217 W Miller St Ste 1, Fruitland Park, FL 34731 Phone: 527-500-2773 Fax: 352-260-0240
Dr. Jennifer Nasrin Paul, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 3261 U.s. Hwy. 27/441, Suite A1, Fruitland Park, FL 34731 Phone: 352-750-1200 Fax: 352-750-1611
Dr. Matthew Joseph Uhrik, D.C., M.S., M.S. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1217 W Miller St Ste 1, Fruitland Park, FL 34731 Phone: 352-750-0277 Fax: 352-260-0240
Dr. David Michael Ayris, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 415 N Dixie Ave, Fruitland Park, FL 34731 Phone: 352-787-0404 Fax: 352-787-0404

Mr Richard Kim Etheredge, DC - Medicare Chiropractor in Fruitland Park, FL