Dr Ronald M Ploucha, DC - Medicare Chiropractor in Pittsburgh, PA

Dr Ronald M Ploucha, DC is a medicare enrolled "Chiropractor" provider in Pittsburgh, Pennsylvania. He went to Life Chiropractic College - West and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. His current practice location is 1927 E Carson St, Pittsburgh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 381-4422.

Dr Ronald M Ploucha is licensed to practice in Pennsylvania (license number 9443) 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 1033117122.

Contact Information

Dr Ronald M Ploucha, DC
1927 E Carson St,
Pittsburgh, PA 15203-1835
(412) 381-4422
(412) 381-8503

Map and Direction




Healthcare Provider's Profile

Full NameDr Ronald M Ploucha
GenderMale
SpecialityChiropractic
Experience20 Years
Location1927 E Carson St, Pittsburgh, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ronald M Ploucha attended and graduated from Life Chiropractic College - West in 2004
  NPI Data:
  • NPI Number: 1033117122
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5991756231
  • Enrollment ID: I20050606000180

Medical Identifiers

Medical identifiers for Dr Ronald M Ploucha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033117122NPI-NPPES
0001012696930001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 9443 (Pennsylvania)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 Ronald M Ploucha allows following entities to bill medicare on his behalf.
Provider NamePloucha Chiropractic Center, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1316261068
PECOS PAC ID: 0749313005
Enrollment ID: O20100806000407

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 Ronald M Ploucha 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 AddressPractice Location Address
Dr Ronald M Ploucha, DC
1927 E Carson St,
Pittsburgh, PA 15203-1835

Ph: (412) 381-4422
Dr Ronald M Ploucha, DC
1927 E Carson St,
Pittsburgh, PA 15203-1835

Ph: (412) 381-4422

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.