Carli Marie Vangoethem, DC in Kewaunee, WI - Medicare Chiropractor Provider

Carli Marie Vangoethem, DC is a medicare enrolled "Chiropractor" provider in Kewaunee, Wisconsin. Her current practice location is 402 Ellis St, Kewaunee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 388-4499.

Carli Marie Vangoethem is licensed to practice in Wisconsin (license number 5778-12) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306583687.

Contact Information

	Carli Marie Vangoethem, DC
	402 Ellis St, Kewaunee, WI 54216-1329
	(920) 388-4499
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carli Marie Vangoethem
Gender	Female
Speciality	Chiropractor
Location	402 Ellis St, Kewaunee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306583687
Provider Enumeration Date: 05/17/2022
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 4284099821
Enrollment ID: I20230503001937

Medical Identifiers

Medical identifiers for Carli Marie Vangoethem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306583687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	114461 (Iowa)	Secondary
111NN1001X	Chiropractor - Nutrition	5778-12 (Wisconsin)	Secondary
111NR0200X	Chiropractor - Radiology	5778-12 (Wisconsin)	Secondary
111N00000X	Chiropractor	5778-12 (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. Carli Marie Vangoethem allows following entities to bill medicare on her behalf.

Provider Name	Root Of Wellness Chiropractic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972290500 PECOS PAC ID: 3375908916 Enrollment ID: O20230503001885

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. Carli Marie Vangoethem 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
Carli Marie Vangoethem, DC 402 Ellis St, Kewaunee, WI 54216-1329 Ph: (920) 621-1854	Carli Marie Vangoethem, DC 402 Ellis St, Kewaunee, WI 54216-1329 Ph: (920) 388-4499

Reviews and Comments

Chiropractor in Kewaunee, WI

Kewaunee Chiropractic Works Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 224 Ellis St, Kewaunee, WI 54216 Phone: 920-388-0285 Fax: 920-388-0291
Charles L Sivret, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 402 Ellis St, Kewaunee, WI 54216 Phone: 920-388-4499 Fax: 920-388-4499
Marie H Chapman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1218 Ellis St, Kewaunee, WI 54216 Phone: 920-388-3440 Fax: 920-388-4560
Nelson-sivret Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 402 Ellis St, Kewaunee, WI 54216 Phone: 920-388-4499 Fax: 920-388-4499
Robin S Nelson, CHIROPRACTOR Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 402 Ellis St, Kewaunee, WI 54216 Phone: 920-388-4499 Fax: 920-388-4499
Marcus Arnold Steele, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1218 Ellis Street, Steele Chiropractic Clinic, Kewaunee, WI 54216 Phone: 920-388-3440 Fax: 920-388-4560

Carli Marie Vangoethem, DC - Medicare Chiropractor in Kewaunee, WI