Nolan Deatherage, DC in Auburn, WA - Medicare Chiropractor Provider

Nolan Deatherage, DC is a medicare enrolled "Chiropractor" provider in Auburn, Washington. His current practice location is 1101 Supermall Way Ste 1269, Auburn, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 269-0261.

Nolan Deatherage is licensed to practice in Washington (license number CH60040685) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144467119.

Contact Information

	Nolan Deatherage, DC
	1101 Supermall Way Ste 1269, Auburn, WA 98001-6535
	(253) 269-0261
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nolan Deatherage
Gender	Male
Speciality	Chiropractor
Location	1101 Supermall Way Ste 1269, Auburn, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144467119
Provider Enumeration Date: 01/13/2009
Last Update Date: 01/13/2009

Medicare PECOS Information:

PECOS PAC ID: 1456485531
Enrollment ID: I20100811000228

Medical Identifiers

Medical identifiers for Nolan Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144467119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CH60040685 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nolan Deatherage allows following entities to bill medicare on his behalf.

Provider Name	Deatherage Chiropractic Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295497014 PECOS PAC ID: 2961888011 Enrollment ID: O20220927003803

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. Nolan Deatherage 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
Nolan Deatherage, DC 1101 Supermall Way Ste 1269, Auburn, WA 98001-6535 Ph: (253) 269-0261	Nolan Deatherage, DC 1101 Supermall Way Ste 1269, Auburn, WA 98001-6535 Ph: (253) 269-0261

Reviews and Comments

Chiropractor in Auburn, WA

Jason Henke, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4220 A St Se, Suite 203, Auburn, WA 98002 Phone: 253-653-1858
Dr. Donald Wayne Olson, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1020 A St Se, Suite 4, Auburn, WA 98002 Phone: 253-939-0909 Fax: 253-939-1813
Amy J Storey, LMP Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4701 Auburn Way N, Auburn, WA 98002 Phone: 253-850-2225 Fax: 253-850-5757
Dr. Phillip A Thompson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 914 D St Ne, Ste 101, Auburn, WA 98002 Phone: 253-939-0906 Fax: 253-939-3381
Dr. Vicki Sue Gilthvedt, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1428 Auburn Way S, Auburn, WA 98002 Phone: 253-833-8150 Fax: 253-833-2690
Vision Quest Chiropractic & Wellness Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1101 Supermall Way, Suite #1269, Auburn, WA 98001 Phone: 253-269-0261
Lakeland Family Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 4220 A St Se, Suite 203, Auburn, WA 98002 Phone: 253-653-1858

Nolan Deatherage, DC - Medicare Chiropractor in Auburn, WA