Countryside Wellness Llc - Medicare Chiropractor in Tahlequah, OK

Countryside Wellness Llc is a medicare enrolled "Chiropractor" provider in Tahlequah, Oklahoma. Their current practice location is 1607 S Muskogee Ave, Suite C, Tahlequah, Oklahoma. You can reach out to their office (for appointments etc.) via phone at (918) 708-2563.

Countryside Wellness Llc is licensed to practice in Oklahoma (license number 3983) and it also participates in the medicare program. Countryside Wellness 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 1205142700.

Contact Information

Countryside Wellness Llc
1607 S Muskogee Ave, Suite C,
Tahlequah, OK 74464-5440
(918) 708-2563
(918) 456-3000



Healthcare Provider's Profile

Full NameCountryside Wellness Llc
TypeFacility
SpecialityChiropractor
Location1607 S Muskogee Ave, Tahlequah, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205142700
  • Provider Enumeration Date: 08/23/2010
  • Last Update Date: 02/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2466648589
  • Enrollment ID: O20101201000078

Medical Identifiers

Medical identifiers for Countryside Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205142700NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 3983 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Countryside Wellness Llc acts as a billing entity for following providers:
Provider NameRebekah Leeetta Mouse
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1982917068
PECOS PAC ID: 3375739493
Enrollment ID: I20101201000090

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Provider NameKelly J Callaway
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1134585144
PECOS PAC ID: 9638467459
Enrollment ID: I20210113000605

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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. Countryside Wellness 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 AddressPractice Location Address
Countryside Wellness Llc
18612 E 710 Rd,
Tahlequah, OK 74464-6289

Ph: () -
Countryside Wellness Llc
1607 S Muskogee Ave, Suite C,
Tahlequah, OK 74464-5440

Ph: (918) 708-2563

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Chiropractor in Tahlequah, OK

Dr. Kelly J Callaway, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 5 Plaza South St, Tahlequah, OK 74464
Phone: 918-708-2563    Fax: 918-456-3000
Seth Garrett Moore,
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Downing St, Tahlequah, OK 74464
Phone: 918-734-2711    
Dr. Christian H. Abels, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 215 N Water Ave, Tahlequah, OK 74464
Phone: 918-456-0801    Fax: 918-456-6222
Dr. Christian Ryan Abels, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 215 N Water Ave, Tahlequah, OK 74464
Phone: 918-456-0801    Fax: 918-456-6222
Dr. Tamarie Ann Eller, DC
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 22398 S Bald Hill Rd, Tahlequah, OK 74464
Phone: 918-931-8192    
Robert P Mitchell, DC
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 306 E Downing St, Tahlequah, OK 74464
Phone: 918-458-5101    

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