Spine Body & Soul Chiropractic Llc is a medicare enrolled "Chiropractor" provider in Tuttle, Oklahoma. Their current practice location is
6917 E Highway 37, Tuttle, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(405) 392-5640.
Spine Body & Soul Chiropractic Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Spine Body & Soul 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 1508511981.
Healthcare Provider's Profile
| Full Name | Spine Body & Soul Chiropractic Llc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 6917 E Highway 37, Tuttle, 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: 1508511981
- Provider Enumeration Date: 02/15/2022
- Last Update Date: 02/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769878735
- Enrollment ID: O20220331001770
Medical Identifiers
Medical identifiers for Spine Body & Soul Chiropractic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508511981 | 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.
Spine Body & Soul Chiropractic Llc acts as a billing entity for following providers:
| Provider Name | Savannah Polson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1336894716
PECOS PAC ID: 3678969649
Enrollment ID: I20220331001888 |
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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. Spine Body & Soul 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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Spine Body & Soul Chiropractic Llc
Po Box 479,
Tuttle, OK 73089-0479
Ph: (405) 392-5640 | Spine Body & Soul Chiropractic Llc
6917 E Highway 37,
Tuttle, OK 73089-8582
Ph: (405) 392-5640 |
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