Quiram Spinal & Sports Rehabilitation Ltd is a medicare enrolled "Chiropractor - Rehabilitation" provider in Danvers, Illinois. Their current practice location is
21108 N 25 East Road, Danvers, Illinois. You can reach out to their office (for appointments etc.) via phone at
(309) 662-6462.
Quiram Spinal & Sports Rehabilitation Ltd is licensed to practice in Illinois (license number 042-617717) and it also participates in the medicare program. Quiram Spinal & Sports Rehabilitation Ltd
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 1780760413.
Healthcare Provider's Profile
Full Name | Quiram Spinal & Sports Rehabilitation Ltd |
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Type | Facility |
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Speciality | Chiropractor - Rehabilitation |
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Location | 21108 N 25 East Road, Danvers, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780760413
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 08/05/2009
Medicare PECOS Information:
- PECOS PAC ID: 3274620075
- Enrollment ID: O20071025000451
Medical Identifiers
Medical identifiers for Quiram Spinal & Sports Rehabilitation Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780760413 | NPI | - | NPPES |
5732002 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NR0400X | Chiropractor - Rehabilitation | 042-617717 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Quiram Spinal & Sports Rehabilitation Ltd acts as a billing entity for following providers:
Provider Name | Leslie R Quiram |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1467428409 PECOS PAC ID: 8820185614 Enrollment ID: I20071025000439 |
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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. Quiram Spinal & Sports Rehabilitation Ltd 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 |
Quiram Spinal & Sports Rehabilitation Ltd 21108 N 25 East Road, Danvers, IL 61732-4497 Ph: (309) 662-6462 | Quiram Spinal & Sports Rehabilitation Ltd 21108 N 25 East Road, Danvers, IL 61732-4497 Ph: (309) 662-6462 |
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