Northern Roots Family Spinal Care, Llc in Clear Lake, WI

Northern Roots Family Spinal Care, Llc is a medicare enrolled "Chiropractor" provider in Clear Lake, Wisconsin. Their current practice location is 470 3rd Ave, Clear Lake, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (715) 303-7121.

Northern Roots Family Spinal Care, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northern Roots Family Spinal Care, Llc 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 1043866460.

Contact Information

	Northern Roots Family Spinal Care, Llc
	470 3rd Ave, Clear Lake, WI 54005
	(715) 303-7121
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Northern Roots Family Spinal Care, Llc
Type	Facility
Speciality	Chiropractor
Location	470 3rd Ave, Clear Lake, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043866460
Provider Enumeration Date: 08/12/2019
Last Update Date: 08/12/2019

Medicare PECOS Information:

PECOS PAC ID: 0941539241
Enrollment ID: O20190911003964

Medical Identifiers

Medical identifiers for Northern Roots Family Spinal Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043866460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Northern Roots Family Spinal Care, Llc acts as a billing entity for following providers:

Provider Name	Chase Brendan O Keefe
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1376095984 PECOS PAC ID: 8921380106 Enrollment ID: I20190911003977

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 Roots Family Spinal Care, Llc 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 Roots Family Spinal Care, Llc 2389 Us Highway 63, Clear Lake, WI 54005-7702 Ph: (715) 563-7447	Northern Roots Family Spinal Care, Llc 470 3rd Ave, Clear Lake, WI 54005 Ph: (715) 303-7121

Reviews and Comments

Chiropractor in Clear Lake, WI

Dr. Bradley Alvin Paulson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 336 3rd Ave, Clear Lake, WI 54005 Phone: 715-263-2313 Fax: 715-263-3284
Paulson Chiropractic Clinic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 336 3rd Ave, Clear Lake, WI 54005 Phone: 715-263-2313
Dr. Brent Richard Paulson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 336 3rd Ave, Clear Lake, WI 54005 Phone: 715-263-2313 Fax: 715-263-3284

Northern Roots Family Spinal Care, Llc - Medicare Chiropractor in Clear Lake, WI