Dr Krystal Rae Davis, DC is a medicare enrolled "Chiropractor" provider in Little Chute, Wisconsin. She went to Logan College Of Chiropractic and graduated in 2009 and has 15 years of diverse experience with area of expertise as Chiropractic. Her current practice location is
1925 E Main St, Little Chute, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 462-4630.
Dr Krystal Rae Davis is licensed to practice in Wisconsin (license number 4559-12) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780913202.
Healthcare Provider's Profile
| Full Name | Dr Krystal Rae Davis |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 15 Years |
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| Location | 1925 E Main St, Little Chute, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Krystal Rae Davis attended and graduated from Logan College Of Chiropractic in 2009
NPI Data:
- NPI Number: 1780913202
- Provider Enumeration Date: 12/11/2009
- Last Update Date: 08/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991838922
- Enrollment ID: I20100728000474
Medical Identifiers
Medical identifiers for Dr Krystal Rae Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780913202 | NPI | - | NPPES |
| 1780913202 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4559-12 (Wisconsin) | Primary |
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 Krystal Rae Davis allows following entities to bill medicare on her behalf.
| Provider Name | Davis Family Chiropractic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740775279
PECOS PAC ID: 6204184682
Enrollment ID: O20180801000839 |
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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. Dr Krystal Rae Davis 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 |
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Dr Krystal Rae Davis, DC
1925 E Main St,
Little Chute, WI 54140-2457
Ph: (920) 462-4630 | Dr Krystal Rae Davis, DC
1925 E Main St,
Little Chute, WI 54140-2457
Ph: (920) 462-4630 |
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