Dr Ken Eagle, DC BCN is a
Chiropractor based in Old Bethpage, New York. Dr Ken Eagle is licensed to practice in New York (license number X008036-1) and his current practice location is
3 Swan Ct, Old Bethpage, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 381-9055.
NPI number for Dr Ken Eagle is 1154435519 and his current mailing address is Po Box 58, Old Bethpage, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154435519.
Healthcare Provider's Profile
| Full Name | Dr Ken Eagle |
|---|
| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 3 Swan Ct, Old Bethpage, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154435519
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 11/18/2025
Medical Identifiers
Medical identifiers for Dr Ken Eagle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154435519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | X008036-1 (New York) | Primary |
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 Ken Eagle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ken Eagle, DC BCN
Po Box 58,
Old Bethpage, NY 11804-0058
Ph: (516) 381-9055 | Dr Ken Eagle, DC BCN
3 Swan Ct,
Old Bethpage, NY 11804-1307
Ph: (516) 381-9055 |
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