The Colonel Glenn Chiropractic And Rehabilitation Center Llc is a medicare enrolled "Chiropractor" provider in Beavercreek Township, Ohio. Their current practice location is
4141 Colonel Glenn Hwy Ste 151, Beavercreek Township, Ohio. You can reach out to their office (for appointments etc.) via phone at
(037) 360-9323.
The Colonel Glenn Chiropractic And Rehabilitation Center Llc is licensed to practice in Ohio (license number 3954) and it also participates in the medicare program. The Colonel Glenn Chiropractic And Rehabilitation Center 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 1770085417.
Healthcare Provider's Profile
| Full Name | The Colonel Glenn Chiropractic And Rehabilitation Center Llc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 4141 Colonel Glenn Hwy Ste 151, Beavercreek Township, Ohio |
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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: 1770085417
- Provider Enumeration Date: 03/07/2018
- Last Update Date: 03/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618230913
- Enrollment ID: O20180419002740
Medical Identifiers
Medical identifiers for The Colonel Glenn Chiropractic And Rehabilitation Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770085417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3954 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
The Colonel Glenn Chiropractic And Rehabilitation Center Llc acts as a billing entity for following providers:
| Provider Name | Robert Thomas Daubenspeck |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1265672497
PECOS PAC ID: 3779632831
Enrollment ID: I20090519000668 |
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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. The Colonel Glenn Chiropractic And Rehabilitation Center 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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The Colonel Glenn Chiropractic And Rehabilitation Center Llc
4141 Colonel Glenn Hwy Ste 151,
Beavercreek Township, OH 45431-1662
Ph: () - | The Colonel Glenn Chiropractic And Rehabilitation Center Llc
4141 Colonel Glenn Hwy Ste 151,
Beavercreek Township, OH 45431-1662
Ph: (037) 360-9323 |
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