Lebanon Chiropractic Clinic Pc is a medicare enrolled "Chiropractor" provider in Lebanon, Illinois. Their current practice location is
110 W Saint Louis St, Lebanon, Illinois. You can reach out to their office (for appointments etc.) via phone at
(618) 537-4407.
Lebanon Chiropractic Clinic Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lebanon Chiropractic Clinic Pc
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 1467500850.
Healthcare Provider's Profile
Full Name | Lebanon Chiropractic Clinic Pc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 110 W Saint Louis St, Lebanon, Illinois |
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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: 1467500850
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 06/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 1658468962
- Enrollment ID: O20071102000671
Medical Identifiers
Medical identifiers for Lebanon Chiropractic Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467500850 | NPI | - | NPPES |
634840 | Other | IL | MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lebanon Chiropractic Clinic Pc acts as a billing entity for following providers:
Provider Name | Dale A Fischer |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1841294436 PECOS PAC ID: 8921195231 Enrollment ID: I20071102000667 |
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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. Lebanon Chiropractic Clinic Pc 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 |
Lebanon Chiropractic Clinic Pc 110 W Saint Louis St, Lebanon, IL 62254-1559 Ph: (618) 537-4407 | Lebanon Chiropractic Clinic Pc 110 W Saint Louis St, Lebanon, IL 62254-1559 Ph: (618) 537-4407 |
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