Theodore B. Siciliano,dc Llc is a medicare enrolled "Chiropractor" provider in West Creek, New Jersey. Their current practice location is
720 S Main St, West Creek, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(609) 597-9333.
Theodore B. Siciliano,dc Llc is licensed to practice in New Jersey (license number 38MC00170300) and it also participates in the medicare program. Theodore B. Siciliano,dc 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 1124325428.
Healthcare Provider's Profile
Full Name | Theodore B. Siciliano,dc Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 720 S Main St, West Creek, New Jersey |
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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: 1124325428
- Provider Enumeration Date: 02/22/2011
- Last Update Date: 02/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 2668653262
- Enrollment ID: O20110301000875
Medical Identifiers
Medical identifiers for Theodore B. Siciliano,dc Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124325428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 38MC00170300 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Theodore B. Siciliano,dc Llc acts as a billing entity for following providers:
Provider Name | Theodore B Siciliano |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1912055500 PECOS PAC ID: 3577744176 Enrollment ID: I20110301000902 |
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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. Theodore B. Siciliano,dc 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 |
Theodore B. Siciliano,dc Llc 720 S Main St, West Creek, NJ 08092-3121 Ph: (609) 597-9333 | Theodore B. Siciliano,dc Llc 720 S Main St, West Creek, NJ 08092-3121 Ph: (609) 597-9333 |
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