Mid-coast Spine & Sport is a medicare enrolled "Chiropractor" provider in Boothbay, Maine. Their current practice location is
957 Wiscasset Rd, Ste 4, Boothbay, Maine. You can reach out to their office (for appointments etc.) via phone at
(207) 315-6388.
Mid-coast Spine & Sport is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mid-coast Spine & Sport
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 1669052601.
Healthcare Provider's Profile
| Full Name | Mid-coast Spine & Sport |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 957 Wiscasset Rd, Boothbay, Maine |
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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: 1669052601
- Provider Enumeration Date: 04/13/2021
- Last Update Date: 06/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 8325444755
- Enrollment ID: O20210909001542
Medical Identifiers
Medical identifiers for Mid-coast Spine & Sport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669052601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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.
Mid-coast Spine & Sport acts as a billing entity for following providers:
| Provider Name | Brady R Fergola |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1982263976
PECOS PAC ID: 9234535667
Enrollment ID: I20210909001667 |
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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. Mid-coast Spine & Sport 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 |
|---|
Mid-coast Spine & Sport
Po Box 355,
Boothbay, ME 04537-0355
Ph: (207) 315-6388 | Mid-coast Spine & Sport
957 Wiscasset Rd, Ste 4,
Boothbay, ME 04537-4618
Ph: (207) 315-6388 |
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