Grantsville Back Pain Relief Chiropractic is a medicare enrolled "Chiropractor" provider in Grantsville, Utah. Their current practice location is
163 S Sr 112 Hwy Ste 107, Grantsville, Utah. You can reach out to their office (for appointments etc.) via phone at
(435) 248-0603.
Grantsville Back Pain Relief Chiropractic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Grantsville Back Pain Relief Chiropractic
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 1538802798.
Healthcare Provider's Profile
| Full Name | Grantsville Back Pain Relief Chiropractic |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 163 S Sr 112 Hwy Ste 107, Grantsville, Utah |
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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: 1538802798
- Provider Enumeration Date: 04/15/2022
- Last Update Date: 09/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517343528
- Enrollment ID: O20220928002726
Medical Identifiers
Medical identifiers for Grantsville Back Pain Relief Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538802798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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.
Grantsville Back Pain Relief Chiropractic acts as a billing entity for following providers:
| Provider Name | Jared Thomas Brown |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1124673660
PECOS PAC ID: 2961732524
Enrollment ID: I20190924002543 |
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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. Grantsville Back Pain Relief Chiropractic 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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Grantsville Back Pain Relief Chiropractic
Po Box 1396,
Grantsville, UT 84029-1396
Ph: () - | Grantsville Back Pain Relief Chiropractic
163 S Sr 112 Hwy Ste 107,
Grantsville, UT 84029-5520
Ph: (435) 248-0603 |
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