Wolf River Chiropractic is a medicare enrolled "Chiropractor" provider in Shiocton, Wisconsin. Their current practice location is
N5644 State Highway 76, Shiocton, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 240-4441.
Wolf River Chiropractic is licensed to practice in Wisconsin (license number 4305-012) and it also participates in the medicare program. Wolf River Chiropractic
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 1487028205.
Healthcare Provider's Profile
| Full Name | Wolf River Chiropractic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | N5644 State Highway 76, Shiocton, Wisconsin |
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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: 1487028205
- Provider Enumeration Date: 11/17/2015
- Last Update Date: 03/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 7719267772
- Enrollment ID: O20161208000762
Medical Identifiers
Medical identifiers for Wolf River Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487028205 | NPI | - | NPPES |
| 38976900 | Medicaid | WI | |
| 1598983611 | Other | WI | INDIVIDUAL NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4305-012 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Wolf River Chiropractic acts as a billing entity for following providers:
| Provider Name | Jolene M Garvey Pintar |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1598983611
PECOS PAC ID: 9436256310
Enrollment ID: I20070530000258 |
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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. Wolf River Chiropractic 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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Wolf River Chiropractic
N5644 State Highway 76,
Shiocton, WI 54170-8612
Ph: (920) 240-4441 | Wolf River Chiropractic
N5644 State Highway 76,
Shiocton, WI 54170-8612
Ph: (920) 240-4441 |
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