Waters Edge Chiropractic Plc is a medicare enrolled primary clinic (Clinic/center) in Gladstone, Michigan. The current practice location for Waters Edge Chiropractic Plc is 922 Delta Ave, Gladstone, Michigan. For appointments, you can reach them via phone at
(906) 428-9076. The mailing address for Waters Edge Chiropractic Plc is 1010 Delta Ave Ste 216, Gladstone, Michigan and phone number is (906) 428-9076.
Waters Edge Chiropractic Plc is licensed to practice in Michigan (license number 2301009453). The clinic also participates in the medicare program and its
NPI number is 1396916482. 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
(906) 428-9076.
Primary Care Clinic Profile
| Full Name | Waters Edge Chiropractic Plc |
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| Speciality | Clinic/Center |
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| Location | 922 Delta Ave, Gladstone, Michigan |
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| Authorized Official Name and Position | Patrick Dean Johnson (CEO) |
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| Authorized Official Contact | 9063992800 |
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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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Waters Edge Chiropractic Plc
1010 Delta Ave Ste 216
Gladstone
MI 49837-1522
Ph: (906) 428-9076 | Waters Edge Chiropractic Plc
922 Delta Ave
Gladstone
MI 49837-1649
Ph: (906) 428-9076 |
NPI Details:
| NPI Number | 1396916482 |
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| Provider Enumeration Date | 03/17/2008 |
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| Last Update Date | 03/17/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9032285804 |
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| Medicare Enrollment ID | O20080905000630 |
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Medical Identifiers
Medical identifiers for Waters Edge Chiropractic Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396916482 | NPI | - | NPPES |
| 1200009 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | 2301009453 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Waters Edge Chiropractic Plc acts as a billing entity for following providers:
| Provider Name | Patrick D Johnson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1467626853
PECOS PAC ID: 8628144490
Enrollment ID: I20080905000628 |
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