Northern Chiropractic And Wellness Llc is a medicare enrolled "Chiropractor" provider in Crivitz, Wisconsin. Their current practice location is
709 Dyer St, Crivitz, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(715) 854-5025.
Northern Chiropractic And Wellness Llc is licensed to practice in Wisconsin (license number 5160-12) and it also participates in the medicare program. Northern Chiropractic And Wellness 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 1619427630.
Healthcare Provider's Profile
Full Name | Northern Chiropractic And Wellness Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 709 Dyer St, Crivitz, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619427630
- Provider Enumeration Date: 10/13/2016
- Last Update Date: 10/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 0547558058
- Enrollment ID: O20161017002413
Medical Identifiers
Medical identifiers for Northern Chiropractic And Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619427630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 5160-12 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northern Chiropractic And Wellness Llc acts as a billing entity for following providers:
Provider Name | Kellen J Blanck-grott |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1306200472 PECOS PAC ID: 4082902598 Enrollment ID: I20161017002543 |
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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. Northern Chiropractic And Wellness 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 |
Northern Chiropractic And Wellness Llc Po Box 593, Crivitz, WI 54114-0593 Ph: (715) 854-5025 | Northern Chiropractic And Wellness Llc 709 Dyer St, Crivitz, WI 54114-7480 Ph: (715) 854-5025 |
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