Wildcat Chiropractic Sports & Wellness Center Llc is a medicare enrolled "Chiropractor" provider in St Marys, Kansas. Their current practice location is
503 E. Bertrand Ave, St Marys, Kansas. You can reach out to their office (for appointments etc.) via phone at
(785) 437-6162.
Wildcat Chiropractic Sports & Wellness Center Llc is licensed to practice in Kansas (license number 4457) and it also participates in the medicare program. Wildcat Chiropractic Sports & Wellness Center 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 1275646382.
Healthcare Provider's Profile
| Full Name | Wildcat Chiropractic Sports & Wellness Center Llc |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 503 E. Bertrand Ave, St Marys, Kansas |
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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: 1275646382
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143227314
- Enrollment ID: O20061031000519
Medical Identifiers
Medical identifiers for Wildcat Chiropractic Sports & Wellness Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275646382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4457 (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.
Wildcat Chiropractic Sports & Wellness Center Llc acts as a billing entity for following providers:
| Provider Name | Gary E Cleveland |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1023121100
PECOS PAC ID: 5294732475
Enrollment ID: I20061031000542 |
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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. Wildcat Chiropractic Sports & Wellness Center 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 |
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Wildcat Chiropractic Sports & Wellness Center Llc
503 E. Bertrand Ave,
St Marys, KS 66536
Ph: (785) 437-6162 | Wildcat Chiropractic Sports & Wellness Center Llc
503 E. Bertrand Ave,
St Marys, KS 66536
Ph: (785) 437-6162 |
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