Revive Chiropractic & Acupuncture Llc is a medicare enrolled "Exclusive Provider Organization" provider in Hutchinson, Kansas. Their current practice location is
210 E 30th Ave Ste 110, Hutchinson, Kansas. You can reach out to their office (for appointments etc.) via phone at
(620) 259-6399.
Revive Chiropractic & Acupuncture Llc is licensed to practice in Kansas (license number 01-05713) and it also participates in the medicare program. Revive Chiropractic & Acupuncture 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 1447635826.
Healthcare Provider's Profile
| Full Name | Revive Chiropractic & Acupuncture Llc |
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| Type | Facility |
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| Speciality | Exclusive Provider Organization |
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| Location | 210 E 30th Ave Ste 110, Hutchinson, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447635826
- Provider Enumeration Date: 07/27/2015
- Last Update Date: 12/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375837412
- Enrollment ID: O20160811001704
Medical Identifiers
Medical identifiers for Revive Chiropractic & Acupuncture Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447635826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 302F00000X | Exclusive Provider Organization | 01-05713 (Kansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Revive Chiropractic & Acupuncture Llc acts as a billing entity for following providers:
| Provider Name | Stacia Nicole Biel |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1093193476 PECOS PAC ID: 4183944549 Enrollment ID: I20150526002360 |
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| Provider Name | Daelyn Anne Smith |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1467280297 PECOS PAC ID: 6608314547 Enrollment ID: I20240809003697 |
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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. Revive Chiropractic & Acupuncture 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 |
Revive Chiropractic & Acupuncture Llc 210 E 30th Ave Ste 110, Hutchinson, KS 67502-2463 Ph: (620) 259-6399 | Revive Chiropractic & Acupuncture Llc 210 E 30th Ave Ste 110, Hutchinson, KS 67502-2463 Ph: (620) 259-6399 |
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