Soul Purpose Dba Lone Grove Chiropractic Clinic is a medicare enrolled "Chiropractor" provider in Lone Grove, Oklahoma. Their current practice location is
16982 Highway 70, Lone Grove, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 657-6664.
Soul Purpose Dba Lone Grove Chiropractic Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Soul Purpose Dba Lone Grove Chiropractic Clinic
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 1174014609.
Healthcare Provider's Profile
| Full Name | Soul Purpose Dba Lone Grove Chiropractic Clinic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 16982 Highway 70, Lone Grove, Oklahoma |
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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: 1174014609
- Provider Enumeration Date: 05/21/2018
- Last Update Date: 10/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214262229
- Enrollment ID: O20190712002628
Medical Identifiers
Medical identifiers for Soul Purpose Dba Lone Grove Chiropractic Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174014609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Soul Purpose Dba Lone Grove Chiropractic Clinic acts as a billing entity for following providers:
| Provider Name | Jennifer Galles Long |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1972705499
PECOS PAC ID: 2668564329
Enrollment ID: I20070825000097 |
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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. Soul Purpose Dba Lone Grove Chiropractic Clinic 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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Soul Purpose Dba Lone Grove Chiropractic Clinic
Po Box 147,
Lone Grove, OK 73443-0147
Ph: (580) 657-6664 | Soul Purpose Dba Lone Grove Chiropractic Clinic
16982 Highway 70,
Lone Grove, OK 73443
Ph: (580) 657-6664 |
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