Champion Concierge Chiropractic is a medicare enrolled "Chiropractor" provider in Roscoe, Texas. Their current practice location is
1125 Fm 1230, Roscoe, Texas. You can reach out to their office (for appointments etc.) via phone at
(325) 721-6288.
Champion Concierge Chiropractic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Champion Concierge Chiropractic
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 1700348901.
Healthcare Provider's Profile
| Full Name | Champion Concierge Chiropractic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 1125 Fm 1230, Roscoe, Texas |
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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: 1700348901
- Provider Enumeration Date: 04/05/2019
- Last Update Date: 04/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779060363
- Enrollment ID: O20260126001655
Medical Identifiers
Medical identifiers for Champion Concierge Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700348901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (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.
Champion Concierge Chiropractic acts as a billing entity for following providers:
| Provider Name | Deedra Wright |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1629532171
PECOS PAC ID: 4688151277
Enrollment ID: I20260127002210 |
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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. Champion Concierge Chiropractic 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 |
|---|
Champion Concierge Chiropractic
1125 Fm 1230,
Roscoe, TX 79545-3313
Ph: (325) 721-6288 | Champion Concierge Chiropractic
1125 Fm 1230,
Roscoe, TX 79545-3313
Ph: (325) 721-6288 |
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