Dr Antonia Forsyth Diller, DC in Eureka, CA - Medicare Chiropractor Provider

Dr Antonia Forsyth Diller, DC is a medicare enrolled "Chiropractor" provider in Eureka, California. Her current practice location is 1775 Harrison Ave, Eureka, California. You can reach out to her office (for appointments etc.) via phone at (707) 616-6156.

Dr Antonia Forsyth Diller is licensed to practice in California (license number 34926) 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 1790382828.

Contact Information

	Dr Antonia Forsyth Diller, DC
	1775 Harrison Ave, Eureka, CA 95501-1338
	(707) 616-6156
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Antonia Forsyth Diller
Gender	Female
Speciality	Chiropractor
Location	1775 Harrison Ave, Eureka, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790382828
Provider Enumeration Date: 10/01/2020
Last Update Date: 12/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8325468754
Enrollment ID: I20201023000169

Medical Identifiers

Medical identifiers for Dr Antonia Forsyth Diller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790382828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	34926 (California)	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. Dr Antonia Forsyth Diller allows following entities to bill medicare on her behalf.

Provider Name	Active Care Chiropractic Fogg Professional Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356707772 PECOS PAC ID: 9133427792 Enrollment ID: O20160414001111

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. Dr Antonia Forsyth Diller 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
Dr Antonia Forsyth Diller, DC 1775 Harrison Ave, Eureka, CA 95501-1338 Ph: (707) 616-6156	Dr Antonia Forsyth Diller, DC 1775 Harrison Ave, Eureka, CA 95501-1338 Ph: (707) 616-6156

Reviews and Comments

Chiropractor in Eureka, CA

Alan Ira Cook, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 341 Howard Heights Rd, Eureka, CA 95503 Phone: 707-444-8953
Dr. Eileen Hackworth, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2803 E St, Eureka, CA 95501 Phone: 707-267-4410
John T Ryan, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1628 Broadway, Eureka, CA 95501 Phone: 707-445-2570 Fax: 707-445-2577
Marco Brine, Chiropractor Medicare: Medicare Enrolled Practice Location: 1775 Harrison Ave, Eureka, CA 95501 Phone: 707-445-8080
Active Care Chiropractic, Bellinger/fogg Professional Corporation Chiropractor Medicare: Medicare Enrolled Practice Location: 1775 Harrison Ave, Eureka, CA 95501 Phone: 707-445-8080 Fax: 707-445-8088
Bellinger Chiropractic Corporation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1775 Harrison Ave, Eureka, CA 95501 Phone: 707-445-8080 Fax: 707-445-8088
Dr. Dean H Shapiro, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3134 H St, Eureka, CA 95503 Phone: 707-445-2570 Fax: 707-445-2577

Dr Antonia Forsyth Diller, DC - Medicare Chiropractor in Eureka, CA