Active Lifestyle Chiropractic,sc - Medicare Chiropractor in Wautoma, WI

Active Lifestyle Chiropractic,sc is a medicare enrolled "Chiropractor" provider in Wautoma, Wisconsin. Their current practice location is 140 N. Townline Rd., Wautoma, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (920) 787-0122.

Active Lifestyle Chiropractic,sc is licensed to practice in Wisconsin (license number 3391) and it also participates in the medicare program. Active Lifestyle Chiropractic,sc 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 1194801191.

Contact Information

Active Lifestyle Chiropractic,sc
140 N. Townline Rd.,
Wautoma, WI 54982-0246
(920) 787-0122
(920) 787-0091

Map and Direction




Healthcare Provider's Profile

Full NameActive Lifestyle Chiropractic,sc
TypeFacility
SpecialityChiropractor
Location140 N. Townline Rd., Wautoma, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194801191
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 08/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3476656463
  • Enrollment ID: O20070312000582

Medical Identifiers

Medical identifiers for Active Lifestyle Chiropractic,sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194801191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 3391 (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. Active Lifestyle Chiropractic,sc acts as a billing entity for following providers:
Provider NameDavid M Gruszka
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1790871200
PECOS PAC ID: 4981636446
Enrollment ID: I20050906000395

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,sc 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,sc
Po Box 246,
Wautoma, WI 54982-0246

Ph: (920) 787-0122
Active Lifestyle Chiropractic,sc
140 N. Townline Rd.,
Wautoma, WI 54982-0246

Ph: (920) 787-0122

Reviews and Comments


Chiropractor in Wautoma, WI

Chiropractic Health And Wellness Center Of Wautoma, Inc
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Phone: 920-787-4715    
Dr. Terrence R Barkalow, DC
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 200 N Oakridge Ct, Wautoma, WI 54982
Phone: 920-787-4715    Fax: 920-787-1083
Mark James Vandecastle, D.C.
Chiropractor
Medicare: May Accept Medicare Assignments
Practice Location: 140 N. Townline Rd, Wautoma, WI 54982
Phone: 920-787-0122    Fax: 920-787-0091
Dr. David Michael Gruszka, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 140 N Townline Rd, Wautoma, WI 54982
Phone: 920-787-0122    

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.