Southwest Chiromed Buckeye Llc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Buckeye, Arizona. Their current practice location is
305 N 4th St, Buckeye, Arizona. You can reach out to their office (for appointments etc.) via phone at
(623) 393-8767.
Southwest Chiromed Buckeye Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southwest Chiromed Buckeye 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 1063292563.
Healthcare Provider's Profile
| Full Name | Southwest Chiromed Buckeye Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 305 N 4th St, Buckeye, Arizona |
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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: 1063292563
- Provider Enumeration Date: 10/02/2023
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709235054
- Enrollment ID: O20231212000981
Medical Identifiers
Medical identifiers for Southwest Chiromed Buckeye Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063292563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (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.
Southwest Chiromed Buckeye Llc acts as a billing entity for following providers:
| Provider Name | Daniel Bishop |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1669522587
PECOS PAC ID: 2466514401
Enrollment ID: I20090626000140 |
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| Provider Name | David C Ketchum |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1467458067
PECOS PAC ID: 6204724552
Enrollment ID: I20091006000395 |
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| Provider Name | Alan Scott Frandsen |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1275986176
PECOS PAC ID: 8325473457
Enrollment ID: I20200120000955 |
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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. Southwest Chiromed Buckeye 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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Southwest Chiromed Buckeye Llc
305 N 4th St,
Buckeye, AZ 85326-2405
Ph: () - | Southwest Chiromed Buckeye Llc
305 N 4th St,
Buckeye, AZ 85326-2405
Ph: (623) 393-8767 |
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