State Center Chiropractic, Llc is a medicare enrolled "Chiropractor" provider in State Center, Iowa. Their current practice location is
114 Main St W, State Center, Iowa. You can reach out to their office (for appointments etc.) via phone at
(641) 483-3051.
State Center Chiropractic, Llc is licensed to practice in Iowa (license number 007449) and it also participates in the medicare program. State Center 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 1831554161.
Healthcare Provider's Profile
| Full Name | State Center Chiropractic, Llc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 114 Main St W, State Center, Iowa |
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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: 1831554161
- Provider Enumeration Date: 12/31/2015
- Last Update Date: 12/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 7012211048
- Enrollment ID: O20160211000313
Medical Identifiers
Medical identifiers for State Center Chiropractic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831554161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 007449 (Iowa) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
State Center Chiropractic, Llc acts as a billing entity for following providers:
| Provider Name | Brandi L Sparks |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1346571254
PECOS PAC ID: 9436336559
Enrollment ID: I20120618000017 |
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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. State Center 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 |
|---|
State Center Chiropractic, Llc
Po Box 73,
State Center, IA 50247-0073
Ph: (641) 483-3051 | State Center Chiropractic, Llc
114 Main St W,
State Center, IA 50247-7777
Ph: (641) 483-3051 |
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