Restore Wellness Chiropractic And Laser is a medicare enrolled "Chiropractor" provider in Black Earth, Wisconsin. Their current practice location is
9749 Kahl Road, Black Earth, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(608) 216-3206.
Restore Wellness Chiropractic And Laser is licensed to practice in Wisconsin (license number 2884-012) and it also participates in the medicare program. Restore Wellness Chiropractic And Laser
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 1275026650.
Healthcare Provider's Profile
Full Name | Restore Wellness Chiropractic And Laser |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 9749 Kahl Road, Black Earth, Wisconsin |
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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: 1275026650
- Provider Enumeration Date: 06/11/2018
- Last Update Date: 06/11/2018
Medicare PECOS Information:
- PECOS PAC ID: 5890045041
- Enrollment ID: O20180910000239
Medical Identifiers
Medical identifiers for Restore Wellness Chiropractic And Laser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275026650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 2884-012 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Restore Wellness Chiropractic And Laser acts as a billing entity for following providers:
Provider Name | Vicki L Hegerfeld |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1861465452 PECOS PAC ID: 3971604505 Enrollment ID: I20070725000677 |
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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. Restore Wellness Chiropractic And Laser 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 |
Restore Wellness Chiropractic And Laser Po Box 316, Black Earth, WI 53515-0316 Ph: (608) 216-3206 | Restore Wellness Chiropractic And Laser 9749 Kahl Road, Black Earth, WI 53515 Ph: (608) 216-3206 |
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