Full Potential Chiropractic And Wellness, Inc. is a medicare enrolled "Chiropractor" provider in Humboldt, South Dakota. Their current practice location is
118 S Main St, Humboldt, South Dakota. You can reach out to their office (for appointments etc.) via phone at
(605) 937-7551.
Full Potential Chiropractic And Wellness, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Full Potential Chiropractic And Wellness, Inc.
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 1225618945.
Healthcare Provider's Profile
| Full Name | Full Potential Chiropractic And Wellness, Inc. |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 118 S Main St, Humboldt, South Dakota |
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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: 1225618945
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 03/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678975547
- Enrollment ID: O20210714003052
Medical Identifiers
Medical identifiers for Full Potential Chiropractic And Wellness, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225618945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Full Potential Chiropractic And Wellness, Inc. acts as a billing entity for following providers:
| Provider Name | Kayla Marquardt |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1164001749
PECOS PAC ID: 2062814015
Enrollment ID: I20210713002312 |
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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. Full Potential Chiropractic And Wellness, Inc. 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 |
|---|
Full Potential Chiropractic And Wellness, Inc.
Po Box 171,
Humboldt, SD 57035-0171
Ph: (605) 937-7551 | Full Potential Chiropractic And Wellness, Inc.
118 S Main St,
Humboldt, SD 57035-2131
Ph: (605) 937-7551 |
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