Greene Specific Chiropractic Clinic Pc is a medicare enrolled "Chiropractor - Rehabilitation" provider in Petersburg, Indiana. Their current practice location is
712 E Main St, Petersburg, Indiana. You can reach out to their office (for appointments etc.) via phone at
(812) 354-6807.
Greene Specific Chiropractic Clinic Pc is licensed to practice in Indiana (license number 08001548A) and it also participates in the medicare program. Greene Specific Chiropractic Clinic Pc
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 1205009206.
Healthcare Provider's Profile
| Full Name | Greene Specific Chiropractic Clinic Pc |
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| Type | Facility |
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| Speciality | Chiropractor - Rehabilitation |
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| Location | 712 E Main St, Petersburg, Indiana |
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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: 1205009206
- Provider Enumeration Date: 04/10/2008
- Last Update Date: 08/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 5698923266
- Enrollment ID: O20120924000798
Medical Identifiers
Medical identifiers for Greene Specific Chiropractic Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205009206 | NPI | - | NPPES |
| 000000228713 | Other | IN | ANTHEM BC/BS |
| 645927 | Other | IN | ACN GROUP |
| 000000228710 | Other | IN | ANTHEM BC/BS GROUP |
| 327644 | Other | IN | HEALTHLINK |
| 200030600 | Medicaid | IN | |
| 350032460 | Other | IN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0400X | Chiropractor - Rehabilitation | 08001548A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Greene Specific Chiropractic Clinic Pc acts as a billing entity for following providers:
| Provider Name | Robert C Greene |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1821200460
PECOS PAC ID: 2668420274
Enrollment ID: I20050111000319 |
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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. Greene Specific Chiropractic Clinic Pc 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 |
|---|
Greene Specific Chiropractic Clinic Pc
712 E Main St,
Petersburg, IN 47567-1231
Ph: (812) 354-6807 | Greene Specific Chiropractic Clinic Pc
712 E Main St,
Petersburg, IN 47567-1231
Ph: (812) 354-6807 |
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