Prior Lake Spine in Prior Lake, MN - Medicare Chiropractor Provider

Prior Lake Spine is a medicare enrolled "Chiropractor" provider in Prior Lake, Minnesota. Their current practice location is 16197 Main Ave Se, Prior Lake, Minnesota. You can reach out to their office (for appointments etc.) via phone at (952) 226-5100.

Prior Lake Spine is licensed to practice in Minnesota (license number 5230) and it also participates in the medicare program. Prior Lake Spine 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 1700163573.

Contact Information

	Prior Lake Spine
	16197 Main Ave Se, Prior Lake, MN 55372-1704
	(952) 226-5100
	(952) 516-5240

Map and Direction

Healthcare Provider's Profile

Full Name	Prior Lake Spine
Type	Facility
Speciality	Chiropractor
Location	16197 Main Ave Se, Prior Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700163573
Provider Enumeration Date: 11/08/2011
Last Update Date: 07/27/2012

Medicare PECOS Information:

PECOS PAC ID: 0143487371
Enrollment ID: O20120131000395

Medical Identifiers

Medical identifiers for Prior Lake Spine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700163573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	5230 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prior Lake Spine acts as a billing entity for following providers:

Provider Name	Joshua R Rickert
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1932333176 PECOS PAC ID: 0244386399 Enrollment ID: I20090915000670

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. Prior Lake Spine 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
Prior Lake Spine 16197 Main Ave Se, Prior Lake, MN 55372-1704 Ph: (952) 226-5100	Prior Lake Spine 16197 Main Ave Se, Prior Lake, MN 55372-1704 Ph: (952) 226-5100

Reviews and Comments

Chiropractor in Prior Lake, MN

Melissa Engelson, Dc, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15815 Franklin Trl Se, Suite 500, Prior Lake, MN 55372 Phone: 952-567-1005
Pivotal Family Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 16731 Highway 13 S Ste 107a, Prior Lake, MN 55372 Phone: 320-582-0582
Connor Thomas Wears, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6885 Boudin St Ne Ste 200, Prior Lake, MN 55372 Phone: 651-583-8971 Fax: 612-682-4897
Deborah Genrick, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14180 Commerce Ave Ne, Prior Lake, MN 55372 Phone: 952-447-3395 Fax: 953-447-3396
Dr. Samantha Marie Davidson Hermsen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6880 Boudin St Ne Ste 230, Prior Lake, MN 55372 Phone: 952-447-0985 Fax: 952-447-0986
Collins Chiropractic Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16670 Franklin Trl Se, Suite 120c, Prior Lake, MN 55372 Phone: 952-447-5770 Fax: 952-447-5780
Michele Schueller Stapf, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4124 Raspberry Ridge Rd Ne, Prior Lake, MN 55372 Phone: 952-240-0541

Prior Lake Spine - Medicare Chiropractor in Prior Lake, MN