Bosma Chiropractic L.l.c. is a medicare enrolled "Chiropractor" provider in Wrightstown, Wisconsin. Their current practice location is
450 High St., Ste 4, Wrightstown, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 532-6450.
Bosma Chiropractic L.l.c. is licensed to practice in Wisconsin (license number 3807-012) and it also participates in the medicare program. Bosma Chiropractic L.l.c.
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 1790903110.
Healthcare Provider's Profile
| Full Name | Bosma Chiropractic L.l.c. |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 450 High St., Wrightstown, Wisconsin |
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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: 1790903110
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 4385534270
- Enrollment ID: O20040316000664
Medical Identifiers
Medical identifiers for Bosma Chiropractic L.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790903110 | NPI | - | NPPES |
| 389-36600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3807-012 (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.
Bosma Chiropractic L.l.c. acts as a billing entity for following providers:
| Provider Name | Bradley R Bosma |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1366449696
PECOS PAC ID: 3375433279
Enrollment ID: I20040322000672 |
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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. Bosma Chiropractic L.l.c. 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 |
|---|
Bosma Chiropractic L.l.c.
450 High St., Ste 4,
Wrightstown, WI 54180
Ph: (920) 532-6450 | Bosma Chiropractic L.l.c.
450 High St., Ste 4,
Wrightstown, WI 54180
Ph: (920) 532-6450 |
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