Dr Michael Walter Connelly, DC is a medicare enrolled "Chiropractor" provider in South Hackensack, New Jersey. He went to Palmer College Chiropractic - Davenport and graduated in 2010 and has 16 years of diverse experience with area of expertise as Chiropractic. His current practice location is
60 Saddle River Ave, South Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 880-4860.
Dr Michael Walter Connelly is licensed to practice in New Jersey (license number 38MC00691700) 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 1790077576.
Healthcare Provider's Profile
| Full Name | Dr Michael Walter Connelly |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 16 Years |
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| Location | 60 Saddle River Ave, South Hackensack, New Jersey |
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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 Michael Walter Connelly attended and graduated from Palmer College Chiropractic - Davenport in 2010
NPI Data:
- NPI Number: 1790077576
- Provider Enumeration Date: 05/11/2011
- Last Update Date: 05/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 5698918761
- Enrollment ID: I20130821000870
Medical Identifiers
Medical identifiers for Dr Michael Walter Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790077576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 38MC00691700 (New Jersey) | 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 Michael Walter Connelly allows following entities to bill medicare on his behalf.
| Provider Name | Michael Connelly Dc Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841621877
PECOS PAC ID: 4688199490
Enrollment ID: O20250415000416 |
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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 Michael Walter Connelly 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 Michael Walter Connelly, DC
24 Hemlock St,
Oakland, NJ 07436-1829
Ph: (201) 403-4753 | Dr Michael Walter Connelly, DC
60 Saddle River Ave,
South Hackensack, NJ 07606-1952
Ph: (201) 880-4860 |
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