Fairview Family & Sports Chiropractic, P.c. is a medicare enrolled "Chiropractor" provider in Fairview, Oklahoma. Their current practice location is
301 W Elm St, Fairview, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 227-3515.
Fairview Family & Sports Chiropractic, P.c. is licensed to practice in Oklahoma (license number 2433) and it also participates in the medicare program. Fairview Family & Sports Chiropractic, P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962792507.
Healthcare Provider's Profile
| Full Name | Fairview Family & Sports Chiropractic, P.c. |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 301 W Elm St, Fairview, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962792507
- Provider Enumeration Date: 04/17/2011
- Last Update Date: 04/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 9739364829
- Enrollment ID: O20110505000459
Medical Identifiers
Medical identifiers for Fairview Family & Sports Chiropractic, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962792507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 2433 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fairview Family & Sports Chiropractic, P.c. acts as a billing entity for following providers:
| Provider Name | Justin Keen |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1447343702
PECOS PAC ID: 4183809270
Enrollment ID: I20110505000526 |
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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. Fairview Family & Sports Chiropractic, P.c. 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 |
|---|
Fairview Family & Sports Chiropractic, P.c.
301 W Elm St,
Fairview, OK 73737-1618
Ph: (580) 227-3515 | Fairview Family & Sports Chiropractic, P.c.
301 W Elm St,
Fairview, OK 73737-1618
Ph: (580) 227-3515 |
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