San Pedro Chiropractic is a medicare enrolled "Chiropractor" provider in Benson, Arizona. Their current practice location is
338 E 4th St, Benson, Arizona. You can reach out to their office (for appointments etc.) via phone at
(520) 586-9364.
San Pedro Chiropractic is licensed to practice in Arizona (license number 4956) and it also participates in the medicare program. San Pedro Chiropractic
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 1124532361.
Healthcare Provider's Profile
Full Name | San Pedro Chiropractic |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 338 E 4th St, Benson, Arizona |
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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: 1124532361
- Provider Enumeration Date: 11/27/2017
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971860560
- Enrollment ID: O20171207000590
Medical Identifiers
Medical identifiers for San Pedro Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124532361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 4956 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
San Pedro Chiropractic acts as a billing entity for following providers:
Provider Name | Frederick Von Brincken |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1427441146 PECOS PAC ID: 5698706786 Enrollment ID: I20050829000556 |
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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. San Pedro Chiropractic 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 |
San Pedro Chiropractic 338 E 4th St, Benson, AZ 85602-6614 Ph: () - | San Pedro Chiropractic 338 E 4th St, Benson, AZ 85602 Ph: (520) 586-9364 |
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