Lake Superior Chiropractic Office, S.c. in Superior, WI

Lake Superior Chiropractic Office, S.c. is a medicare enrolled "Chiropractor" provider in Superior, Wisconsin. Their current practice location is 2121 E 5th St, Superior, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (715) 398-6679.

Lake Superior Chiropractic Office, S.c. is licensed to practice in Wisconsin (license number 2460) and it also participates in the medicare program. Lake Superior Chiropractic Office, S.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 1053538959.

Contact Information

	Lake Superior Chiropractic Office, S.c.
	2121 E 5th St, Superior, WI 54880-3610
	(715) 398-6679
	(715) 398-6080

Map and Direction

Healthcare Provider's Profile

Full Name	Lake Superior Chiropractic Office, S.c.
Type	Facility
Speciality	Chiropractor
Location	2121 E 5th St, Superior, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053538959
Provider Enumeration Date: 04/20/2007
Last Update Date: 04/29/2008

Medicare PECOS Information:

PECOS PAC ID: 2769526201
Enrollment ID: O20100428000903

Medical Identifiers

Medical identifiers for Lake Superior Chiropractic Office, S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053538959	NPI	-	NPPES
38986200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	2460 (Wisconsin)	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 Superior Chiropractic Office, S.c. acts as a billing entity for following providers:

Provider Name	Carl D Miller
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1790826261 PECOS PAC ID: 8729115480 Enrollment ID: I20120605000568

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 Superior Chiropractic Office, S.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
Lake Superior Chiropractic Office, S.c. 2121 E 5th St, Superior, WI 54880-3610 Ph: (715) 398-6679	Lake Superior Chiropractic Office, S.c. 2121 E 5th St, Superior, WI 54880-3610 Ph: (715) 398-6679

Reviews and Comments

Chiropractor in Superior, WI

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Lake Superior Chiropractic Office, S.c. - Medicare Chiropractor in Superior, WI