Wildwood Chiropractic, Inc is a medicare enrolled "Chiropractor" provider in Grover, Missouri. Their current practice location is
16841 Manchester Rd, Grover, Missouri. You can reach out to their office (for appointments etc.) via phone at
(636) 458-9334.
Wildwood Chiropractic, Inc is licensed to practice in Missouri (license number CE006482) and it also participates in the medicare program. Wildwood Chiropractic, 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 1437371234.
Healthcare Provider's Profile
Full Name | Wildwood Chiropractic, Inc |
---|
Type | Facility |
---|
Speciality | Chiropractor |
---|
Location | 16841 Manchester Rd, Grover, Missouri |
---|
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437371234
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395928618
- Enrollment ID: O20110324000292
Medical Identifiers
Medical identifiers for Wildwood Chiropractic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437371234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | CE006482 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Wildwood Chiropractic, Inc acts as a billing entity for following providers:
Provider Name | Tracy L Edelmann |
---|
Provider Type | Practitioner - Chiropractic |
---|
Provider Identifiers | NPI Number: 1508996166 PECOS PAC ID: 6103009428 Enrollment ID: I20110324000324 |
---|
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. Wildwood Chiropractic, 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 |
Wildwood Chiropractic, Inc 16841 Manchester Rd, Grover, MO 63040-1207 Ph: (636) 458-9334 | Wildwood Chiropractic, Inc 16841 Manchester Rd, Grover, MO 63040-1207 Ph: (636) 458-9334 |
Reviews and Comments