Active Lifestyle Chiropractic - Medicare Chiropractor in Phoenix, AZ

Active Lifestyle Chiropractic is a medicare enrolled "Chiropractor" provider in Phoenix, Arizona. Their current practice location is 16515 S 40th St, Suite 129, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at (480) 704-1050.

Active Lifestyle Chiropractic is licensed to practice in Arizona (license number 7750) and it also participates in the medicare program. Active Lifestyle Chiropractic 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 1083905301.

Contact Information

Active Lifestyle Chiropractic
16515 S 40th St, Suite 129,
Phoenix, AZ 85048-0558
(480) 704-1050
(480) 704-0109

Map and Direction




Healthcare Provider's Profile

Full NameActive Lifestyle Chiropractic
TypeFacility
SpecialityChiropractor
Location16515 S 40th St, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083905301
  • Provider Enumeration Date: 04/20/2011
  • Last Update Date: 04/20/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8325209463
  • Enrollment ID: O20120417000113

Medical Identifiers

Medical identifiers for Active Lifestyle Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083905301NPI-NPPES
Z111783OtherPTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 7750 (Arizona)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 Lifestyle Chiropractic acts as a billing entity for following providers:
Provider NameJennifer R Winton
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1255444055
PECOS PAC ID: 1557357761
Enrollment ID: I20061106000164
Provider NameKeith M Smith
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1912963836
PECOS PAC ID: 8224115506
Enrollment ID: I20140415001690

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 Lifestyle Chiropractic 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
Active Lifestyle Chiropractic
16515 S 40th St, Suite 129,
Phoenix, AZ 85048-0558

Ph: (480) 704-1050
Active Lifestyle Chiropractic
16515 S 40th St, Suite 129,
Phoenix, AZ 85048-0558

Ph: (480) 704-1050

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.