Active Life Mobile Chiropractic Inc is a medicare enrolled "Chiropractor" provider in Ouray, Colorado. Their current practice location is
801 Main Street, Ouray, Colorado. You can reach out to their office (for appointments etc.) via phone at
(615) 969-8663.
Active Life Mobile Chiropractic Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Active Life Mobile Chiropractic Inc
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 1528879145.
Healthcare Provider's Profile
| Full Name | Active Life Mobile Chiropractic Inc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 801 Main Street, Ouray, Colorado |
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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: 1528879145
- Provider Enumeration Date: 01/14/2025
- Last Update Date: 04/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567981590
- Enrollment ID: O20250522002142
Medical Identifiers
Medical identifiers for Active Life Mobile Chiropractic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528879145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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.
Active Life Mobile Chiropractic Inc acts as a billing entity for following providers:
| Provider Name | Gil Paul Kentof |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1114054905
PECOS PAC ID: 6103957345
Enrollment ID: I20250522002174 |
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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 Life Mobile Chiropractic Inc 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 Life Mobile Chiropractic Inc
Po Box 865 Ouray, Co 81427,
Ouray, CO 81427
Ph: (615) 969-8663 | Active Life Mobile Chiropractic Inc
801 Main Street,
Ouray, CO 81427
Ph: (615) 969-8663 |
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