Revive Chiropractic And Wellness, Pllc is a medicare enrolled "Chiropractor" provider in Vonore, Tennessee. Their current practice location is
1740 Us-411, Unit 1, Vonore, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(423) 420-7111.
Revive Chiropractic And Wellness, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Revive Chiropractic And Wellness, Pllc
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 1568286862.
Healthcare Provider's Profile
| Full Name | Revive Chiropractic And Wellness, Pllc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 1740 Us-411, Vonore, Tennessee |
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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: 1568286862
- Provider Enumeration Date: 11/13/2024
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325569973
- Enrollment ID: O20250311003375
Medical Identifiers
Medical identifiers for Revive Chiropractic And Wellness, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568286862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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.
Revive Chiropractic And Wellness, Pllc acts as a billing entity for following providers:
| Provider Name | Luke Wiggins |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1275247058
PECOS PAC ID: 9234650888
Enrollment ID: I20250311003456 |
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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 And Wellness, Pllc 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 And Wellness, Pllc
115 Warbler Ct,
Vonore, TN 37885-2046
Ph: (865) 368-6295 | Revive Chiropractic And Wellness, Pllc
1740 Us-411, Unit 1,
Vonore, TN 37885
Ph: (423) 420-7111 |
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