Roselle Chiropractic Inc is a medicare enrolled "Family Medicine - Sports Medicine" provider in Roselle, Illinois. Their current practice location is
50 Irving Park Rd, Roselle, Illinois. You can reach out to their office (for appointments etc.) via phone at
(630) 295-8851.
Roselle Chiropractic Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Roselle Chiropractic Inc
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 1841357316.
Healthcare Provider's Profile
| Full Name | Roselle Chiropractic Inc |
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| Type | Facility |
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| Speciality | Family Medicine - Sports Medicine |
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| Location | 50 Irving Park Rd, Roselle, Illinois |
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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: 1841357316
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 08/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 1456389451
- Enrollment ID: O20050801000558
Medical Identifiers
Medical identifiers for Roselle Chiropractic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841357316 | NPI | - | NPPES |
| 038008665 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 038-008665 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038012771 (Illinois) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| 364S00000X | Clinical Nurse Specialist | 209.006668 (Illinois) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Roselle Chiropractic Inc acts as a billing entity for following providers:
| Provider Name | Tariq Ahmed |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1750448320
PECOS PAC ID: 4981632981
Enrollment ID: I20050802000247 |
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| Provider Name | Sabeena Faiz |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1245428978
PECOS PAC ID: 5395833180
Enrollment ID: I20071112000551 |
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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. Roselle Chiropractic Inc 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 |
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Roselle Chiropractic Inc
50 Irving Park Rd,
Roselle, IL 60172
Ph: (630) 295-8851 | Roselle Chiropractic Inc
50 Irving Park Rd,
Roselle, IL 60172
Ph: (630) 295-8851 |
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