Dr Susan Kinkade Antley, DC is a medicare enrolled "Chiropractor" provider in Lakeside, Montana. She went to Western States College Of Chiropractic and graduated in 2000 and has 24 years of diverse experience with area of expertise as Chiropractic. Her current practice location is
7176 Highway 93 South, Lakeside, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 844-2151.
Dr Susan Kinkade Antley is licensed to practice in Montana (license number CHI 954) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457401895.
Healthcare Provider's Profile
| Full Name | Dr Susan Kinkade Antley |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 24 Years |
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| Location | 7176 Highway 93 South, Lakeside, Montana |
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| Accepts Medicare Assignments | May be. She 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 Susan Kinkade Antley attended and graduated from Western States College Of Chiropractic in 2000
NPI Data:
- NPI Number: 1457401895
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 03/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 0547395857
- Enrollment ID: I20100311000724
Medical Identifiers
Medical identifiers for Dr Susan Kinkade Antley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457401895 | NPI | - | NPPES |
| 0000040033 | Other | MT | BLUE CROSS BLUE SHIELD |
| 0000163999 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CHI 954 (Montana) | 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 Susan Kinkade Antley allows following entities to bill medicare on her behalf.
| Provider Name | Lakeside Chiropractic Clinic Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1215267752
PECOS PAC ID: 7214062090
Enrollment ID: O20100318000393 |
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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 Susan Kinkade Antley 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 Susan Kinkade Antley, DC
Po Box 648,
Lakeside, MT 59922-0648
Ph: (406) 844-2151 | Dr Susan Kinkade Antley, DC
7176 Highway 93 South,
Lakeside, MT 59922
Ph: (406) 844-2151 |
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