Castelli Chiropractic Center, Llc is a medicare enrolled "Nurse Practitioner" provider in Jacksonville, Florida. Their current practice location is
12187 Beach Blvd Ste 1, Jacksonville, Florida. You can reach out to their office (for appointments etc.) via phone at
(904) 854-9353.
Castelli Chiropractic Center, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Castelli Chiropractic Center, Llc
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 1700964012.
Healthcare Provider's Profile
| Full Name | Castelli Chiropractic Center, Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner |
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| Location | 12187 Beach Blvd Ste 1, Jacksonville, Florida |
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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: 1700964012
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 02/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860718368
- Enrollment ID: O20150227000755
Medical Identifiers
Medical identifiers for Castelli Chiropractic Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700964012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 111NN0400X | Chiropractor - Neurology | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Castelli Chiropractic Center, Llc acts as a billing entity for following providers:
| Provider Name | Sebastian T Castelli |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1831295187
PECOS PAC ID: 7618911157
Enrollment ID: I20050615000287 |
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| Provider Name | Gregory Mcnamara |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1720051832
PECOS PAC ID: 5496796799
Enrollment ID: I20080725000654 |
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| Provider Name | Michael Joseph Conigliaro |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1205483898
PECOS PAC ID: 0749613172
Enrollment ID: I20191125002862 |
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| Provider Name | Kim St Clair Seals |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1215486055
PECOS PAC ID: 6800209842
Enrollment ID: I20210111002979 |
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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. Castelli Chiropractic Center, Llc 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 |
|---|
Castelli Chiropractic Center, Llc
12187 Beach Blvd Ste 1,
Jacksonville, FL 32246-0620
Ph: (904) 854-9353 | Castelli Chiropractic Center, Llc
12187 Beach Blvd Ste 1,
Jacksonville, FL 32246-0620
Ph: (904) 854-9353 |
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