Brady Robert Fergola, DC is a medicare enrolled "Chiropractor" provider in Boothbay Harbor, Maine. He went to Logan College Of Chiropractic and graduated in 2019 and has 7 years of diverse experience with area of expertise as Chiropractic. His current practice location is
18 West St, Boothbay Harbor, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 633-5500.
Brady Robert Fergola is licensed to practice in Maine (license number CR2589) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982263976.
Healthcare Provider's Profile
| Full Name | Brady Robert Fergola |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 7 Years |
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| Location | 18 West St, Boothbay Harbor, Maine |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brady Robert Fergola attended and graduated from Logan College Of Chiropractic in 2019
NPI Data:
- NPI Number: 1982263976
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 06/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 9234535667
- Enrollment ID: I20210909001667
Medical Identifiers
Medical identifiers for Brady Robert Fergola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982263976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CR2589 (Maine) | 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. Brady Robert Fergola allows following entities to bill medicare on his behalf.
| Provider Name | Mid-coast Spine & Sport |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669052601
PECOS PAC ID: 8325444755
Enrollment ID: O20210909001542 |
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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. Brady Robert Fergola 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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Brady Robert Fergola, DC
14 Marden Rd,
Boothbay, ME 04537-5126
Ph: (207) 357-4541 | Brady Robert Fergola, DC
18 West St,
Boothbay Harbor, ME 04538-1849
Ph: (207) 633-5500 |
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