Tenkiller Family Chiropracitc is a medicare enrolled "Chiropractor" provider in Vian, Oklahoma. Their current practice location is
512 S. Thornton Street, Vian, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(918) 773-3025.
Tenkiller Family Chiropracitc is licensed to practice in Oklahoma (license number 3978) and it also participates in the medicare program. Tenkiller Family Chiropracitc
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 1770802456.
Healthcare Provider's Profile
Full Name | Tenkiller Family Chiropracitc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 512 S. Thornton Street, Vian, Oklahoma |
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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: 1770802456
- Provider Enumeration Date: 05/20/2010
- Last Update Date: 01/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 3870624364
- Enrollment ID: O20100628000360
Medical Identifiers
Medical identifiers for Tenkiller Family Chiropracitc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770802456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 3978 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Tenkiller Family Chiropracitc acts as a billing entity for following providers:
Provider Name | Kenneth M. Pack |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1740507714 PECOS PAC ID: 4587795075 Enrollment ID: I20100628000385 |
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Provider Name | Maggie J Pack |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1003133075 PECOS PAC ID: 5496886988 Enrollment ID: I20100628000416 |
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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. Tenkiller Family Chiropracitc 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 |
Tenkiller Family Chiropracitc 512 S. Thornton Street, Vian, OK 74962 Ph: (918) 773-3025 | Tenkiller Family Chiropracitc 512 S. Thornton Street, Vian, OK 74962 Ph: (918) 773-3025 |
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