Prairieland Chiropractic P C is a medicare enrolled "Chiropractor" provider in Rockford, Iowa. Their current practice location is
133 W Main Ave, Rockford, Iowa. You can reach out to their office (for appointments etc.) via phone at
(641) 756-3653.
Prairieland Chiropractic P C is licensed to practice in Iowa (license number A05231) and it also participates in the medicare program. Prairieland 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 1235489048.
Healthcare Provider's Profile
| Full Name | Prairieland Chiropractic P C |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 133 W Main Ave, Rockford, Iowa |
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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: 1235489048
- Provider Enumeration Date: 09/19/2012
- Last Update Date: 09/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 3173778115
- Enrollment ID: O20130225000196
Medical Identifiers
Medical identifiers for Prairieland Chiropractic P C such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235489048 | NPI | - | NPPES |
| 41891 | Other | IA | BC/BS PROVIDER NUMBER |
| 41891 | Other | IA | MEDICARE PTAN |
| P00070391 | Other | IA | PALMETTO GBA PROV. NUMBER |
| 1242305 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | A05231 (Iowa) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Prairieland Chiropractic P C acts as a billing entity for following providers:
| Provider Name | Jeanne R Staudt |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1821039942
PECOS PAC ID: 9133167208
Enrollment ID: I20050419001365 |
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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. Prairieland 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 |
|---|
Prairieland Chiropractic P C
133 W Main Ave, P.o. Box 575,
Rockford, IA 50468-7719
Ph: (641) 756-3653 | Prairieland Chiropractic P C
133 W Main Ave,
Rockford, IA 50468-7719
Ph: (641) 756-3653 |
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