Lakeside Chiropractic, Pllc is a medicare enrolled primary clinic (Clinic/center) in Higden, Arkansas. The current practice location for Lakeside Chiropractic, Pllc is 5 Shiloh Rd, Higden, Arkansas. For appointments, you can reach them via phone at
(501) 825-7200. The mailing address for Lakeside Chiropractic, Pllc is Po Box 115, Higden, Arkansas and phone number is (501) 825-7200.
Lakeside Chiropractic, Pllc is licensed to practice in Arkansas (license number 1724). The clinic also participates in the medicare program and its
NPI number is 1639627284. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(501) 825-7200.
Primary Care Clinic Profile
| Full Name | Lakeside Chiropractic, Pllc |
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| Speciality | Clinic/Center |
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| Location | 5 Shiloh Rd, Higden, Arkansas |
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| Authorized Official Name and Position | William Jacob Smith (OWNER) |
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| Authorized Official Contact | 5018257200 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lakeside Chiropractic, Pllc
Po Box 115
Higden
AR 72067-0115
Ph: (501) 825-7200 | Lakeside Chiropractic, Pllc
5 Shiloh Rd
Higden
AR 72067-9521
Ph: (501) 825-7200 |
NPI Details:
| NPI Number | 1639627284 |
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| Provider Enumeration Date | 09/12/2016 |
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| Last Update Date | 01/09/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8325315286 |
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| Medicare Enrollment ID | O20170524000993 |
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Medical Identifiers
Medical identifiers for Lakeside Chiropractic, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639627284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | 1724 (Arkansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lakeside Chiropractic, Pllc acts as a billing entity for following providers:
| Provider Name | William Jacob Smith |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1154701480
PECOS PAC ID: 7719280817
Enrollment ID: I20160125000243 |
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