Port Jeff Station Chiropractic is a medicare enrolled "Clinic/center" provider in Port Jefferson Station, New York. Their current practice location is
1041 Rout 112, Port Jefferson Station, New York. You can reach out to their office (for appointments etc.) via phone at
(631) 828-4545.
Port Jeff Station Chiropractic is licensed to practice in New York (license number X005301-1) and it also participates in the medicare program. Port Jeff Station Chiropractic
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 1891838538.
Healthcare Provider's Profile
| Full Name | Port Jeff Station Chiropractic |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 1041 Rout 112, Port Jefferson Station, New York |
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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: 1891838538
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 01/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 0749528628
- Enrollment ID: O20190219002744
Medical Identifiers
Medical identifiers for Port Jeff Station Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891838538 | NPI | - | NPPES |
| 01738361 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | X005301-1 (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.
Port Jeff Station Chiropractic acts as a billing entity for following providers:
| Provider Name | Gregory N. Bonasera |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1841374352
PECOS PAC ID: 9739427618
Enrollment ID: I20190401001187 |
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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. Port Jeff Station Chiropractic 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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Port Jeff Station Chiropractic
1041 Route 112,
Port Jefferson Station, NY 11776-6000
Ph: (631) 828-4545 | Port Jeff Station Chiropractic
1041 Rout 112,
Port Jefferson Station, NY 11776
Ph: (631) 828-4545 |
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