Dr Eric Steven Boettcher, DC is a medicare enrolled "Chiropractor" provider in Redgranite, Wisconsin. He went to Logan College Of Chiropractic and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. His current practice location is
1100 E Bannerman Ave, Redgranite, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 566-0767.
Dr Eric Steven Boettcher is licensed to practice in Wisconsin (license number 4106) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750306957.
Healthcare Provider's Profile
| Full Name | Dr Eric Steven Boettcher |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 20 Years |
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| Location | 1100 E Bannerman Ave, Redgranite, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Eric Steven Boettcher attended and graduated from Logan College Of Chiropractic in 2004
NPI Data:
- NPI Number: 1750306957
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2668428558
- Enrollment ID: I20050323001214
Medical Identifiers
Medical identifiers for Dr Eric Steven Boettcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750306957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4106 (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. 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 Eric Steven Boettcher allows following entities to bill medicare on his behalf.
| Provider Name | Eric Boettcher Sc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245337559
PECOS PAC ID: 5991700064
Enrollment ID: O20060922000472 |
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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. Dr Eric Steven Boettcher 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 |
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Dr Eric Steven Boettcher, DC
Po Box 447,
Redgranite, WI 54970-0447
Ph: (920) 566-0767 | Dr Eric Steven Boettcher, DC
1100 E Bannerman Ave,
Redgranite, WI 54970-9320
Ph: (920) 566-0767 |
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