Active Health Chiropractic is a medicare enrolled "Chiropractor" provider in West Liberty, Iowa. Their current practice location is
1103 N Elm St, Ste 102, West Liberty, Iowa. You can reach out to their office (for appointments etc.) via phone at
(319) 627-6461.
Active Health Chiropractic is licensed to practice in Iowa (license number 06934) and it also participates in the medicare program. Active Health 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 1700096989.
Healthcare Provider's Profile
| Full Name | Active Health Chiropractic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 1103 N Elm St, West Liberty, Iowa |
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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: 1700096989
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 03/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 6406870575
- Enrollment ID: O20070601000120
Medical Identifiers
Medical identifiers for Active Health Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700096989 | NPI | - | NPPES |
| 29848 | Other | IA | WELLMARK BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 06934 (Iowa) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Active Health Chiropractic acts as a billing entity for following providers:
| Provider Name | Dana Lynn Nelson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1134191620
PECOS PAC ID: 3870517840
Enrollment ID: I20070522000649 |
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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. Active Health 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 |
|---|
Active Health Chiropractic
1103 N Elm St, Ste 102,
West Liberty, IA 52776-1006
Ph: (319) 627-6461 | Active Health Chiropractic
1103 N Elm St, Ste 102,
West Liberty, IA 52776-1006
Ph: (319) 627-6461 |
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