One Life Chiropractic is a medicare enrolled "Clinic/center - Multi-specialty" provider in Katy, Texas. Their current practice location is
2211 Fry Rd Ste O, Katy, Texas. You can reach out to their office (for appointments etc.) via phone at
(832) 321-3452.
One Life Chiropractic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. One Life Chiropractic
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 1053821025.
Healthcare Provider's Profile
| Full Name | One Life Chiropractic |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 2211 Fry Rd Ste O, Katy, Texas |
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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: 1053821025
- Provider Enumeration Date: 10/04/2017
- Last Update Date: 08/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850654823
- Enrollment ID: O20180405000312
Medical Identifiers
Medical identifiers for One Life Chiropractic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053821025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 12889 (Texas) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (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.
One Life Chiropractic acts as a billing entity for following providers:
| Provider Name | John Robert Wyatt |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1982775052
PECOS PAC ID: 5991732117
Enrollment ID: I20050720000102 |
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| Provider Name | Brian M Riggs |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1114101623
PECOS PAC ID: 8123185311
Enrollment ID: I20090313000442 |
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| Provider Name | Laura Ann Croom |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1730522178
PECOS PAC ID: 8123245503
Enrollment ID: I20140807002164 |
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| Provider Name | Nathan D Gomez |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1174023766
PECOS PAC ID: 8628331691
Enrollment ID: I20180412000034 |
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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. One Life Chiropractic 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 |
|---|
One Life Chiropractic
2211 Fry Rd Ste O,
Katy, TX 77449-6233
Ph: (832) 321-3452 | One Life Chiropractic
2211 Fry Rd Ste O,
Katy, TX 77449-6233
Ph: (832) 321-3452 |
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