Derby Chiropractic Office Llc is a medicare enrolled "Chiropractor" provider in Derby, Connecticut. Their current practice location is
111 New Haven Ave, Derby, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(203) 736-6356.
Derby Chiropractic Office Llc is licensed to practice in Connecticut (license number 001584) and it also participates in the medicare program. Derby Chiropractic Office 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 1215488515.
Healthcare Provider's Profile
Full Name | Derby Chiropractic Office Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 111 New Haven Ave, Derby, Connecticut |
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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: 1215488515
- Provider Enumeration Date: 10/21/2016
- Last Update Date: 10/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 6901134105
- Enrollment ID: O20190827000434
Medical Identifiers
Medical identifiers for Derby Chiropractic Office Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215488515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 001584 (Connecticut) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Derby Chiropractic Office Llc acts as a billing entity for following providers:
Provider Name | Karlos Boghosian |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1104999291 PECOS PAC ID: 9739137134 Enrollment ID: I20050111001106 |
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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. Derby Chiropractic Office 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 |
Derby Chiropractic Office Llc 24 Lewis St, Hartford, CT 06103-2501 Ph: () - | Derby Chiropractic Office Llc 111 New Haven Ave, Derby, CT 06418-2197 Ph: (203) 736-6356 |
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