Petrie Chiropractic Life Center is a medicare enrolled "Anesthesiology" provider in Oakland Park, Florida. Their current practice location is
410 Ne 44th St, Oakland Park, Florida. You can reach out to their office (for appointments etc.) via phone at
(954) 561-4700.
Petrie Chiropractic Life Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Petrie Chiropractic Life Center
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 1588801492.
Healthcare Provider's Profile
| Full Name | Petrie Chiropractic Life Center |
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| Type | Facility |
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| Speciality | Anesthesiology |
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| Location | 410 Ne 44th St, Oakland Park, Florida |
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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: 1588801492
- Provider Enumeration Date: 01/14/2009
- Last Update Date: 08/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 5092867721
- Enrollment ID: O20090710000174
Medical Identifiers
Medical identifiers for Petrie Chiropractic Life Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588801492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | (* (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.
Petrie Chiropractic Life Center acts as a billing entity for following providers:
| Provider Name | Douglas Paul Kellerman |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1194863100
PECOS PAC ID: 5092769430
Enrollment ID: I20050310000385 |
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| Provider Name | Michael F Petrie |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1518067461
PECOS PAC ID: 1557413283
Enrollment ID: I20090710000170 |
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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. Petrie Chiropractic Life Center 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 |
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Petrie Chiropractic Life Center
410 Ne 44th St,
Oakland Park, FL 33334-1423
Ph: (954) 561-4700 | Petrie Chiropractic Life Center
410 Ne 44th St,
Oakland Park, FL 33334-1423
Ph: (954) 561-4700 |
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