Omdalen Chiropractic Clinic Pc is a medicare enrolled "Chiropractor" provider in Mayville, North Dakota. Their current practice location is
45 1st Ave Se, Mayville, North Dakota. You can reach out to their office (for appointments etc.) via phone at
(701) 786-4024.
Omdalen Chiropractic Clinic Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Omdalen Chiropractic Clinic Pc
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 1346365079.
Healthcare Provider's Profile
| Full Name | Omdalen Chiropractic Clinic Pc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 45 1st Ave Se, Mayville, North Dakota |
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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: 1346365079
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284622184
- Enrollment ID: O20040430001121
Medical Identifiers
Medical identifiers for Omdalen Chiropractic Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346365079 | NPI | - | NPPES |
| 16235 | Medicaid | ND | |
| 01210001 | Other | ND | BS GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Omdalen Chiropractic Clinic Pc acts as a billing entity for following providers:
| Provider Name | Scott E Omdalen |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1376635755
PECOS PAC ID: 2567450471
Enrollment ID: I20040503000781 |
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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. Omdalen Chiropractic Clinic Pc 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 |
|---|
Omdalen Chiropractic Clinic Pc
45 1st Ave Se,
Mayville, ND 58257
Ph: (701) 786-4024 | Omdalen Chiropractic Clinic Pc
45 1st Ave Se,
Mayville, ND 58257
Ph: (701) 786-4024 |
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