Life Wellness Center, Inc. - Medicare in Lakeville, MN

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Life Wellness Center, Inc. is a medicare enrolled "General Practice" provider in Lakeville, Minnesota. Their current practice location is 10551 165th St W, Lakeville, Minnesota. You can reach out to their office (for appointments etc.) via phone at (952) 435-5300.

Life Wellness Center, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Life Wellness Center, 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 1083646889.

Contact Information

Life Wellness Center, Inc.
10551 165th St W,
Lakeville, MN 55044-5737
(952) 435-5300
(952) 898-1454

Map and Direction




Healthcare Provider's Profile

Full NameLife Wellness Center, Inc.
TypeFacility
SpecialityGeneral Practice
Location10551 165th St W, Lakeville, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083646889
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 03/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3274584438
  • Enrollment ID: O20050204000104

Medical Identifiers

Medical identifiers for Life Wellness Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083646889NPI-NPPES
025R4LIOtherMNBCBS GROUP ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary
225100000XPhysical Therapist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Life Wellness Center, Inc. acts as a billing entity for following providers:
Provider NameAlfonso Morales-utrilla
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1407901499
PECOS PAC ID: 0446152094
Enrollment ID: I20040123000329
Provider NameThomas M Schmidt
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1255349122
PECOS PAC ID: 3173574332
Enrollment ID: I20050204000360
Provider NameShannon Jay Score
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1417976648
PECOS PAC ID: 3476560541
Enrollment ID: I20060314000658
Provider NameKyle D Traynor
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1760712087
PECOS PAC ID: 8628105343
Enrollment ID: I20100428000459
Provider NameChristopher J Vandergriff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033686258
PECOS PAC ID: 8224372933
Enrollment ID: I20181206003341
Provider NameJenna L Coghlan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760039234
PECOS PAC ID: 6901136373
Enrollment ID: I20190927000253
Provider NameKary A Barrette
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1275299505
PECOS PAC ID: 9335530385
Enrollment ID: I20211229001782

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. Life Wellness Center, 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 AddressPractice Location Address
Life Wellness Center, Inc.
10551 165th St W,
Lakeville, MN 55044-5737

Ph: (952) 435-5300		Life Wellness Center, Inc.
10551 165th St W,
Lakeville, MN 55044-5737

Ph: (952) 435-5300

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.