Southside Family Chiropractic, Llc is a medicare enrolled primary clinic (Clinic/center) in Southside, Arkansas. The current practice location for Southside Family Chiropractic, Llc is 1997 Batesville Blvd, Southside, Arkansas. For appointments, you can reach them via phone at
(870) 613-1464. The mailing address for Southside Family Chiropractic, Llc is 1997 Batesville Blvd, Southside, Arkansas and phone number is (870) 613-1464.
Southside Family Chiropractic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1639741986. 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
(870) 613-1464.
Primary Care Clinic Profile
| Full Name | Southside Family Chiropractic, Llc |
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| Speciality | Clinic/Center |
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| Location | 1997 Batesville Blvd, Southside, Arkansas |
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| Authorized Official Name and Position | Blake Taylor (OWNER/PRACTITIONER) |
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| Authorized Official Contact | 8706131464 |
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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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Southside Family Chiropractic, Llc
1997 Batesville Blvd
Southside
AR 72501-7896
Ph: (870) 613-1464 | Southside Family Chiropractic, Llc
1997 Batesville Blvd
Southside
AR 72501-7896
Ph: (870) 613-1464 |
NPI Details:
| NPI Number | 1639741986 |
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| Provider Enumeration Date | 07/15/2021 |
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| Last Update Date | 10/15/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1355745357 |
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| Medicare Enrollment ID | O20210813000353 |
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Medical Identifiers
Medical identifiers for Southside Family Chiropractic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639741986 | 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.
Southside Family Chiropractic, Llc acts as a billing entity for following providers:
| Provider Name | Blake L Taylor |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1821689605
PECOS PAC ID: 8123436243
Enrollment ID: I20210409000318 |
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