Dr Stephan Paul Ediss, DC is a medicare enrolled "Chiropractor" provider in Douglas, Wyoming. He went to Los Angeles College Of Chiropractic and graduated in 1992 and has 32 years of diverse experience with area of expertise as Chiropractic. His current practice location is
1330 E. Richards, Douglas, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 358-3147.
Dr Stephan Paul Ediss is licensed to practice in Wyoming (license number 574) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1669521324.
Healthcare Provider's Profile
| Full Name | Dr Stephan Paul Ediss |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 32 Years |
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| Location | 1330 E. Richards, Douglas, Wyoming |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Stephan Paul Ediss attended and graduated from Los Angeles College Of Chiropractic in 1992
NPI Data:
- NPI Number: 1669521324
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 01/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 0446411268
- Enrollment ID: I20120420000593
Medical Identifiers
Medical identifiers for Dr Stephan Paul Ediss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669521324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 574 (Wyoming) | 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 Stephan Paul Ediss allows following entities to bill medicare on his behalf.
| Provider Name | Ediss Chiropractic, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477736015
PECOS PAC ID: 3375704190
Enrollment ID: O20120420000570 |
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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 Stephan Paul Ediss 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 Stephan Paul Ediss, DC
Po Box 902, 1330 E. Richards,
Douglas, WY 82633-0902
Ph: (307) 358-3147 | Dr Stephan Paul Ediss, DC
1330 E. Richards,
Douglas, WY 82633
Ph: (307) 358-3147 |
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