Portage Chiropractic, P.c. is a medicare enrolled "Chiropractor" provider in Portage, Pennsylvania. Their current practice location is
808 Caldwell Ave, Suite 102, Portage, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(814) 736-9897.
Portage Chiropractic, P.c. is licensed to practice in Pennsylvania (license number DC006906R) and it also participates in the medicare program. Portage 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 1629128772.
Healthcare Provider's Profile
| Full Name | Portage Chiropractic, P.c. |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 808 Caldwell Ave, Portage, Pennsylvania |
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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: 1629128772
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 05/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 7416994256
- Enrollment ID: O20050413000133
Medical Identifiers
Medical identifiers for Portage Chiropractic, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629128772 | NPI | - | NPPES |
| 001455340 | Other | PA | BLUE CROSS BLUE SHIELD |
| 303267 | Other | PA | UPMC |
| 0016403170004 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC006906R (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Portage Chiropractic, P.c. acts as a billing entity for following providers:
| Provider Name | James Michael Herald |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1841280591
PECOS PAC ID: 2769643063
Enrollment ID: I20120413000123 |
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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. Portage 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 |
|---|
Portage Chiropractic, P.c.
808 Caldwell Ave, Suite 102,
Portage, PA 15946-1571
Ph: (814) 736-9897 | Portage Chiropractic, P.c.
808 Caldwell Ave, Suite 102,
Portage, PA 15946-1571
Ph: (814) 736-9897 |
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