South Shore Chiropractic Llc is a medicare enrolled "Chiropractor" provider in Palermo, New Jersey. Their current practice location is
1217 Route 9, Suite 101, Palermo, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(609) 390-8772.
South Shore Chiropractic Llc is licensed to practice in New Jersey (license number MC03565) and it also participates in the medicare program. South Shore Chiropractic Llc
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 1003118456.
Healthcare Provider's Profile
| Full Name | South Shore Chiropractic Llc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 1217 Route 9, Palermo, New Jersey |
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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: 1003118456
- Provider Enumeration Date: 11/17/2010
- Last Update Date: 11/17/2010
Medicare PECOS Information:
- PECOS PAC ID: 2365639077
- Enrollment ID: O20101207001072
Medical Identifiers
Medical identifiers for South Shore Chiropractic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003118456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | MC03565 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
South Shore Chiropractic Llc acts as a billing entity for following providers:
| Provider Name | Gary Roman Mruz |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1649218413
PECOS PAC ID: 1759578412
Enrollment ID: I20101207000486 |
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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. South Shore Chiropractic Llc 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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South Shore Chiropractic Llc
1217 Route 9, Suite 101,
Palermo, NJ 08230
Ph: (609) 390-8772 | South Shore Chiropractic Llc
1217 Route 9, Suite 101,
Palermo, NJ 08230
Ph: (609) 390-8772 |
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