Long Chiropractic Center Sc is a medicare enrolled "Chiropractor" provider in Wittenberg, Wisconsin. Their current practice location is
406 South Howard Street, Wittenberg, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(715) 253-2239.
Long Chiropractic Center Sc is licensed to practice in Wisconsin (license number 477212) and it also participates in the medicare program. Long Chiropractic Center Sc
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 1720478183.
Healthcare Provider's Profile
| Full Name | Long Chiropractic Center Sc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 406 South Howard Street, Wittenberg, Wisconsin |
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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: 1720478183
- Provider Enumeration Date: 01/23/2015
- Last Update Date: 05/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 8022337443
- Enrollment ID: O20150507000501
Medical Identifiers
Medical identifiers for Long Chiropractic Center Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720478183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 477212 (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.
Long Chiropractic Center Sc acts as a billing entity for following providers:
| Provider Name | Casey J Long |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1174812473
PECOS PAC ID: 7810173218
Enrollment ID: I20110916000316 |
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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. Long Chiropractic Center Sc 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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Long Chiropractic Center Sc
W17314 Maple Rd,
Wittenberg, WI 54499-8553
Ph: (715) 881-1411 | Long Chiropractic Center Sc
406 South Howard Street,
Wittenberg, WI 54499
Ph: (715) 253-2239 |
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