Northern Lakes Chiropractic Clinic, P.c. in Ponderay, ID

Northern Lakes Chiropractic Clinic, P.c. is a medicare enrolled "Chiropractor" provider in Ponderay, Idaho. Their current practice location is 30544 Highway 200 Ste 330, Ponderay, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 265-1900.

Northern Lakes Chiropractic Clinic, P.c. is licensed to practice in Idaho (license number CHIA-1250) and it also participates in the medicare program. Northern Lakes Chiropractic Clinic, P.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 1710156443.

Contact Information

	Northern Lakes Chiropractic Clinic, P.c.
	30544 Highway 200 Ste 330, Ponderay, ID 83852-5005
	(208) 265-1900
	(208) 227-8313

Map and Direction

Healthcare Provider's Profile

Full Name	Northern Lakes Chiropractic Clinic, P.c.
Type	Facility
Speciality	Chiropractor
Location	30544 Highway 200 Ste 330, Ponderay, Idaho
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710156443
Provider Enumeration Date: 02/27/2008
Last Update Date: 03/29/2018

Medicare PECOS Information:

PECOS PAC ID: 1456439736
Enrollment ID: O20080428000368

Medical Identifiers

Medical identifiers for Northern Lakes Chiropractic Clinic, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710156443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CHIA-1250 (Idaho)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northern Lakes Chiropractic Clinic, P.c. acts as a billing entity for following providers:

Provider Name	Ryan A Leisy
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1982741195 PECOS PAC ID: 4880797182 Enrollment ID: I20080428000359

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. Northern Lakes Chiropractic Clinic, P.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
Northern Lakes Chiropractic Clinic, P.c. 30544 Highway 200 Ste 330, Ponderay, ID 83852-5005 Ph: (208) 265-1900	Northern Lakes Chiropractic Clinic, P.c. 30544 Highway 200 Ste 330, Ponderay, ID 83852-5005 Ph: (208) 265-1900

Reviews and Comments

Chiropractor in Ponderay, ID

Sandpoint Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 400 Schweitzer Plaza Dr Ste 4, Ponderay, ID 83852 Phone: 208-265-9400
Dr. Matthew David Wittwer, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 477181 Highway 95 Ste B, Ponderay, ID 83852 Phone: 208-597-4033
Ryan Franklin Webster, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 476653 Highway 95, Ponderay, ID 83852 Phone: 208-265-9400 Fax: 208-263-7521
Matthew Wittwer Chiropractic, P.l.l.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 477181 Highway 95 Ste B, Ponderay, ID 83852 Phone: 208-597-4033
Joshua Robert Moore, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 400 Schweitzer Plaza Dr Ste 4, Ponderay, ID 83852 Phone: 208-265-9400
Ryan Leisy, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 30544 Highway 200 Ste 330, Ponderay, ID 83852 Phone: 208-265-1900

Northern Lakes Chiropractic Clinic, P.c. - Medicare Chiropractor in Ponderay, ID