Lake State Chiropractic Pllc in Byron Center, MI - Medicare Chiropractor Provider

Lake State Chiropractic Pllc is a medicare enrolled "Chiropractor" provider in Byron Center, Michigan. Their current practice location is 2155 84th St Sw Ste 4, Byron Center, Michigan. You can reach out to their office (for appointments etc.) via phone at (269) 330-0352.

Lake State Chiropractic Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lake State Chiropractic Pllc 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 1215540463.

Contact Information

	Lake State Chiropractic Pllc
	2155 84th St Sw Ste 4, Byron Center, MI 49315-8259
	(269) 330-0352
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lake State Chiropractic Pllc
Type	Facility
Speciality	Chiropractor
Location	2155 84th St Sw Ste 4, Byron Center, Michigan
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215540463
Provider Enumeration Date: 08/27/2020
Last Update Date: 08/27/2020

Medicare PECOS Information:

PECOS PAC ID: 5890115562
Enrollment ID: O20201019001391

Medical Identifiers

Medical identifiers for Lake State Chiropractic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215540463	NPI	-	NPPES
1972017481	Other	MI	INDIVIDUAL NPI
2301010620	Other	MI	CHIROPRACTIC LICENSE

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. Lake State Chiropractic Pllc acts as a billing entity for following providers:

Provider Name	Kevin James Sundberg
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1972017481 PECOS PAC ID: 2567721392 Enrollment ID: I20180124000206

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. Lake State Chiropractic Pllc 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
Lake State Chiropractic Pllc 4463 Penny Ln Sw, Wyoming, MI 49418-9383 Ph: (269) 330-0352	Lake State Chiropractic Pllc 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 Ph: (269) 330-0352

Reviews and Comments

Chiropractor in Byron Center, MI

Ryan D Thornton, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8194 Byron Center Ave Sw, Byron Center, MI 49315 Phone: 616-583-7810 Fax: 616-583-0150
Dr. Robert Louis Harrison, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2360 84th Street, Byron Center, MI 49315 Phone: 616-878-1579
Byron Center Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 8194 Byron Center Ave Sw, Byron Center, MI 49315 Phone: 616-583-7810 Fax: 616-583-0150
Dr. Kelly Renee Thornton, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8194 Byron Center Ave Sw, Byron Center, MI 49315 Phone: 616-583-7810 Fax: 616-583-0150
Natural Health Chiropractic Plc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2575 84th St Sw, Suite B, Byron Center, MI 49315 Phone: 616-878-9090 Fax: 616-878-9595

Lake State Chiropractic Pllc - Medicare Chiropractor in Byron Center, MI