Alexander Gutierrez, DC is a medicare enrolled "Chiropractor" provider in Randolph, Wisconsin. His current practice location is
303 N High St, Randolph, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 326-0203.
Alexander Gutierrez is licensed to practice in Wisconsin (license number 6228-12) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033928163.
Healthcare Provider's Profile
Full Name | Alexander Gutierrez |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 303 N High St, Randolph, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033928163
- Provider Enumeration Date: 01/03/2025
- Last Update Date: 02/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446778732
- Enrollment ID: I20250520002387
Medical Identifiers
Medical identifiers for Alexander Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033928163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 6228-12 (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. Alexander Gutierrez allows following entities to bill medicare on his behalf.
Provider Name | Rubert Chiropractic Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1083780670 PECOS PAC ID: 1052448149 Enrollment ID: O20100421000710 |
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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. Alexander Gutierrez 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 |
Alexander Gutierrez, DC 303 N High St, Randolph, WI 53956-1219 Ph: (920) 326-0203 | Alexander Gutierrez, DC 303 N High St, Randolph, WI 53956-1219 Ph: (920) 326-0203 |
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