Trevor Lee Chalfant, DC in Omro, WI - Medicare Chiropractor Provider

Trevor Lee Chalfant, DC is a medicare enrolled "Chiropractor" provider in Omro, Wisconsin. His current practice location is 127 W Main St, Omro, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (317) 506-9609.

Trevor Lee Chalfant is licensed to practice in Wisconsin (license number 6164-12) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336538859.

Contact Information

	Trevor Lee Chalfant, DC
	127 W Main St, Omro, WI 54963-1333
	(317) 506-9609
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Trevor Lee Chalfant
Gender	Male
Speciality	Chiropractor
Location	127 W Main St, Omro, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336538859
Provider Enumeration Date: 01/21/2015
Last Update Date: 09/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7911224084
Enrollment ID: I20240228002457

Medical Identifiers

Medical identifiers for Trevor Lee Chalfant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336538859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	6164-12 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Trevor Lee Chalfant allows following entities to bill medicare on his behalf.

Provider Name	Koch Chiropractic And Wellness Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659484574 PECOS PAC ID: 8921004011 Enrollment ID: O20061012000475

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. Trevor Lee Chalfant 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
Trevor Lee Chalfant, DC 837 S Webster Ave, Omro, WI 54963-1641 Ph: (317) 506-9609	Trevor Lee Chalfant, DC 127 W Main St, Omro, WI 54963-1333 Ph: (317) 506-9609

Reviews and Comments

Chiropractor in Omro, WI

Brittany N Doucette, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 836 Willow St, Omro, WI 54963 Phone: 920-685-3015 Fax: 920-685-3017
Michael Stertz, Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 215 Jackson Ave, Omro, WI 54963 Phone: 920-685-6788 Fax: 920-685-0293
Omro Chiropractic Office, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 215 Jackson Ave, Omro, WI 54963 Phone: 920-685-6788 Fax: 920-685-0293
Dr. Michael Lawrence Bosquez, D.C., CCEP Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 836 Willow St, Omro, WI 54963 Phone: 920-685-3015 Fax: 920-685-3017
Edwin F Davis Dc Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5430 Reighmoor Rd, Omro, WI 54963 Phone: 920-312-3472
Edwin F Davis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5430 Reighmoor Rd, Omro, WI 54963 Phone: 920-312-3472

Trevor Lee Chalfant, DC - Medicare Chiropractor in Omro, WI