Dr Jeremiah Frederick Sample, DC, BS - Medicare Chiropractor in Wichita, KS

Dr Jeremiah Frederick Sample, DC, BS is a medicare enrolled "Chiropractor" provider in Wichita, Kansas. He went to Palmer College Chiropractic - Davenport and graduated in 2014 and has 10 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Family First Chiropractic L.l.c and his current practice location is 2548 S Dalton St, Wichita, Kansas. You can reach out to his office (for appointments etc.) via phone at (316) 214-0720.

Dr Jeremiah Frederick Sample is licensed to practice in Nebraska (license number 1856) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1619344256.

Contact Information

Dr Jeremiah Frederick Sample, DC, BS
2548 S Dalton St,
Wichita, KS 67210-1909
(316) 214-0720
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeremiah Frederick Sample
GenderMale
SpecialityChiropractic
Experience10 Years
Location2548 S Dalton St, Wichita, Kansas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jeremiah Frederick Sample attended and graduated from Palmer College Chiropractic - Davenport in 2014
  NPI Data:
  • NPI Number: 1619344256
  • Provider Enumeration Date: 08/31/2015
  • Last Update Date: 08/31/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7517252455
  • Enrollment ID: I20160817001054

Medical Identifiers

Medical identifiers for Dr Jeremiah Frederick Sample such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619344256NPI-NPPES
1856OtherNEBRASKA CHIROPRACTIC LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 1856 (Nebraska)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family First Chiropractic L.l.c67099840242

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jeremiah Frederick Sample allows following entities to bill medicare on his behalf.
Provider NameFamily First Chiropractic L.l.c
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497975775
PECOS PAC ID: 6709984024
Enrollment ID: O20070611000538

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. Dr Jeremiah Frederick Sample 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 AddressPractice Location Address
Dr Jeremiah Frederick Sample, DC, BS
2548 S Dalton St,
Wichita, KS 67210-1909

Ph: (316) 214-0720
Dr Jeremiah Frederick Sample, DC, BS
2548 S Dalton St,
Wichita, KS 67210-1909

Ph: (316) 214-0720

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.