Central Square Family Chiropractic, Pc is a medicare enrolled "Chiropractor" provider in Central Square, New York. Their current practice location is
3045 East Ave, Central Square, New York. You can reach out to their office (for appointments etc.) via phone at
(315) 668-3248.
Central Square Family Chiropractic, Pc is licensed to practice in New York (license number X010102-1) and it also participates in the medicare program. Central Square Family Chiropractic, Pc
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 1114113230.
Healthcare Provider's Profile
| Full Name | Central Square Family Chiropractic, Pc |
|---|
| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 3045 East Ave, Central Square, New York |
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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: 1114113230
- Provider Enumeration Date: 09/21/2007
- Last Update Date: 09/21/2007
Medicare PECOS Information:
- PECOS PAC ID: 6800986704
- Enrollment ID: O20071215000100
Medical Identifiers
Medical identifiers for Central Square Family Chiropractic, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114113230 | NPI | - | NPPES |
| 7455427 | Other | NY | AETNA |
| 5323798 | Other | NY | CIGNA |
| 5897918 | Other | NY | GHI |
| NY10102 | Other | NY | TOTAL CARE |
| 10770520 | Other | NY | CAQH |
| NY10102 | Other | NY | LANDMARK |
| X010102 | Other | NY | RMSCO |
| P-11213126 | Other | NY | MULTIPLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | X010102-1 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Central Square Family Chiropractic, Pc acts as a billing entity for following providers:
| Provider Name | Daniel P Walsh |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1841390689
PECOS PAC ID: 1557451457
Enrollment ID: I20071215000094 |
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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. Central Square Family Chiropractic, Pc 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 |
|---|
Central Square Family Chiropractic, Pc
Po Box 893,
Central Square, NY 13036-0893
Ph: (315) 668-3248 | Central Square Family Chiropractic, Pc
3045 East Ave,
Central Square, NY 13036-9502
Ph: (315) 668-3248 |
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