Chirosport Brandon, Pc is a medicare enrolled primary clinic (Clinic/center) in Brandon, South Dakota. The current practice location for Chirosport Brandon, Pc is 125 E Holly Blvd, Brandon, South Dakota. For appointments, you can reach them via phone at
(605) 582-8800. The mailing address for Chirosport Brandon, Pc is 5413 S Seville Pl, Sioux Falls, South Dakota and phone number is (712) 899-3597.
Chirosport Brandon, Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1942048558. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(605) 582-8800.
Primary Care Clinic Profile
| Full Name | Chirosport Brandon, Pc |
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| Speciality | Clinic/Center |
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| Location | 125 E Holly Blvd, Brandon, South Dakota |
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| Authorized Official Name and Position | Ross Mcdaniel (CHIROPRACTOR) |
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| Authorized Official Contact | 6052618823 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Chirosport Brandon, Pc
5413 S Seville Pl
Sioux Falls
SD 57108-7572
Ph: (712) 899-3597 | Chirosport Brandon, Pc
125 E Holly Blvd
Brandon
SD 57005
Ph: (605) 582-8800 |
NPI Details:
| NPI Number | 1942048558 |
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| Provider Enumeration Date | 07/17/2024 |
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| Last Update Date | 07/17/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2668910753 |
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| Medicare Enrollment ID | O20240820004515 |
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Medical Identifiers
Medical identifiers for Chirosport Brandon, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942048558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Chirosport Brandon, Pc acts as a billing entity for following providers:
| Provider Name | Michael J Peterson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1053159640
PECOS PAC ID: 1153852363
Enrollment ID: I20240930000181 |
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