Alexander Gutierrez, DC is a medicare enrolled "Chiropractor" provider in Randolph, Wisconsin. He graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Rubert Chiropractic Ltd and 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1033928163.
Healthcare Provider's Profile
| Full Name | Alexander Gutierrez |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 2 Years |
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| Location | 303 N High St, Randolph, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexander Gutierrez graduated from medical school in 2024
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 |
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| 1033928163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 6228-12 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rubert Chiropractic Ltd | 1052448149 | 4 |
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 |
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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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