Mr Ivan Rayner Iii, DC is a medicare enrolled "Chiropractor" provider in Chicago, Illinois. His current practice location is
111 N Wabash Ave Ste 1414, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 819-4239.
Mr Ivan Rayner Iii is licensed to practice in Illinois (license number 038.013280) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932565074.
Healthcare Provider's Profile
Full Name | Mr Ivan Rayner Iii |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 111 N Wabash Ave Ste 1414, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932565074
- Provider Enumeration Date: 01/05/2016
- Last Update Date: 12/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 9032450960
- Enrollment ID: I20190403000040
Medical Identifiers
Medical identifiers for Mr Ivan Rayner Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932565074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 277.016927 (Illinois) | Secondary |
111N00000X | Chiropractor | 038.013280 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ivan Rayner Iii allows following entities to bill medicare on his behalf.
Provider Name | Centered Holistic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1649741117 PECOS PAC ID: 8123369055 Enrollment ID: O20190403000026 |
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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. Mr Ivan Rayner Iii 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 |
Mr Ivan Rayner Iii, DC 111 N Wabash Ave Ste 1414, Chicago, IL 60602-3070 Ph: (312) 819-4239 | Mr Ivan Rayner Iii, DC 111 N Wabash Ave Ste 1414, Chicago, IL 60602-3070 Ph: (312) 819-4239 |
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