Eric Boettcher, S.c. is a medicare enrolled "Chiropractor" provider in Redgranite, Wisconsin. Their current practice location is
620 Warren St # 1, Redgranite, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 566-0767.
Eric Boettcher, S.c. is licensed to practice in Wisconsin (license number 4106) and it also participates in the medicare program. Eric Boettcher, S.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 1245337559.
Healthcare Provider's Profile
| Full Name | Eric Boettcher, S.c. |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 620 Warren St # 1, Redgranite, Wisconsin |
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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: 1245337559
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991700064
- Enrollment ID: O20060922000472
Medical Identifiers
Medical identifiers for Eric Boettcher, S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245337559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4106 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eric Boettcher, S.c. acts as a billing entity for following providers:
| Provider Name | Eric S Boettcher |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1750306957
PECOS PAC ID: 2668428558
Enrollment ID: I20050323001214 |
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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. Eric Boettcher, S.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 |
|---|
Eric Boettcher, S.c.
Po Box 447,
Redgranite, WI 54970-0447
Ph: (920) 566-0767 | Eric Boettcher, S.c.
620 Warren St # 1,
Redgranite, WI 54970-9391
Ph: (920) 566-0767 |
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