Gallick Chiropractic Llc is a medicare enrolled "Chiropractor" provider in Lake Hallie, Wisconsin. Their current practice location is
4753 County Highway J, Lake Hallie, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(720) 448-5274.
Gallick Chiropractic Llc is licensed to practice in Wisconsin (license number 5073) and it also participates in the medicare program. Gallick Chiropractic 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 1285162594.
Healthcare Provider's Profile
Full Name | Gallick Chiropractic Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 4753 County Highway J, Lake Hallie, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285162594
- Provider Enumeration Date: 05/31/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800157066
- Enrollment ID: O20180302001962
Medical Identifiers
Medical identifiers for Gallick Chiropractic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285162594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 5073 (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.
Gallick Chiropractic Llc acts as a billing entity for following providers:
Provider Name | Shane Gallick |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1932637204 PECOS PAC ID: 7618238874 Enrollment ID: I20180302002058 |
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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. Gallick Chiropractic 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 |
Gallick Chiropractic Llc 4753 County Highway J, Lake Hallie, WI 54729-3387 Ph: (720) 448-5274 | Gallick Chiropractic Llc 4753 County Highway J, Lake Hallie, WI 54729-3387 Ph: (720) 448-5274 |
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