Chiro 1st Pc Of Indiana is a medicare enrolled "General Practice" provider in Indianapolis, Indiana. Their current practice location is
11020 E 10th St, Unit B, Indianapolis, Indiana. You can reach out to their office (for appointments etc.) via phone at
(317) 898-5800.
Chiro 1st Pc Of Indiana is licensed to practice in Indiana (license number 01017401A) and it also participates in the medicare program. Chiro 1st Pc Of Indiana
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 1063611325.
Healthcare Provider's Profile
Full Name | Chiro 1st Pc Of Indiana |
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Type | Facility |
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Speciality | General Practice |
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Location | 11020 E 10th St, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063611325
- Provider Enumeration Date: 07/16/2007
- Last Update Date: 03/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 3274540166
- Enrollment ID: O20090930000326
Medical Identifiers
Medical identifiers for Chiro 1st Pc Of Indiana such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063611325 | NPI | - | NPPES |
1568510501 | Other | IN | INDIVIDUAL NPI 1568510501 |
1952320772 | Other | IN | INDIVIDUAL NPI DR. ROBERT BREWER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 08001241A (Indiana) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 01017401A (Indiana) | Secondary |
208D00000X | General Practice | 01017401A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Chiro 1st Pc Of Indiana acts as a billing entity for following providers:
Provider Name | Dawn M Sangalang |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1568510501 PECOS PAC ID: 1355358243 Enrollment ID: I20081229000544 |
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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. Chiro 1st Pc Of Indiana 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 |
Chiro 1st Pc Of Indiana 11020 E 10th St, Unit B, Indianapolis, IN 46229-3710 Ph: (317) 898-5800 | Chiro 1st Pc Of Indiana 11020 E 10th St, Unit B, Indianapolis, IN 46229-3710 Ph: (317) 898-5800 |
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