Surfside Chiropractic Center Inc is a medicare enrolled "Chiropractor" provider in Garden City, South Carolina. Their current practice location is
3103 Hwy 17 South, Garden City, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(843) 357-3800.
Surfside Chiropractic Center Inc is licensed to practice in South Carolina (license number 1332) and it also participates in the medicare program. Surfside Chiropractic Center Inc
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 1710074174.
Healthcare Provider's Profile
Full Name | Surfside Chiropractic Center Inc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 3103 Hwy 17 South, Garden City, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710074174
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709050131
- Enrollment ID: O20111202000553
Medical Identifiers
Medical identifiers for Surfside Chiropractic Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710074174 | NPI | - | NPPES |
616070 | Other | SC | UNITED HEALTHCARE |
CH1332 | Medicaid | SC | |
6CH150 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 1332 (South Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Surfside Chiropractic Center Inc acts as a billing entity for following providers:
Provider Name | Larry E Simon |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1265411193 PECOS PAC ID: 1850565284 Enrollment ID: I20111122000305 |
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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. Surfside Chiropractic Center Inc 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 |
Surfside Chiropractic Center Inc 3103 Hwy 17 South, Garden City, SC 29576-7629 Ph: (843) 357-3800 | Surfside Chiropractic Center Inc 3103 Hwy 17 South, Garden City, SC 29576-7629 Ph: (843) 357-3800 |
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