Port Jervis Chiropractic, P.c. is a medicare enrolled "Chiropractor" provider in Port Jervis, New York. Their current practice location is
27 E Main St, Port Jervis, New York. You can reach out to their office (for appointments etc.) via phone at
(845) 858-8000.
Port Jervis Chiropractic, P.c. is licensed to practice in New York (license number X010835) and it also participates in the medicare program. Port Jervis Chiropractic, P.c.
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 1164615399.
Healthcare Provider's Profile
| Full Name | Port Jervis Chiropractic, P.c. |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 27 E Main St, Port Jervis, 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: 1164615399
- Provider Enumeration Date: 08/21/2007
- Last Update Date: 10/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 8921191255
- Enrollment ID: O20070831000695
Medical Identifiers
Medical identifiers for Port Jervis Chiropractic, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164615399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | X010835 (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 Jervis Chiropractic, P.c. acts as a billing entity for following providers:
| Provider Name | Joseph J Spano |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1992748073
PECOS PAC ID: 0840273934
Enrollment ID: I20040610000139 |
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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 Jervis Chiropractic, P.c. 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 |
|---|
Port Jervis Chiropractic, P.c.
27 E Main St,
Port Jervis, NY 12771-1924
Ph: (845) 858-8000 | Port Jervis Chiropractic, P.c.
27 E Main St,
Port Jervis, NY 12771-1924
Ph: (845) 858-8000 |
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