Crockett Spine & Sport Pllc - Medicare Chiropractor in Alamo, TN

Crockett Spine & Sport Pllc is a medicare enrolled "Chiropractor" provider in Alamo, Tennessee. Their current practice location is 143 S Bells St, Alamo, Tennessee. You can reach out to their office (for appointments etc.) via phone at (731) 696-2525.

Crockett Spine & Sport Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Crockett Spine & Sport Pllc 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 1174153738.

Contact Information

Crockett Spine & Sport Pllc
143 S Bells St,
Alamo, TN 38001-1731
(731) 696-2525
Not Available



Healthcare Provider's Profile

Full NameCrockett Spine & Sport Pllc
TypeFacility
SpecialityChiropractor
Location143 S Bells St, Alamo, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174153738
  • Provider Enumeration Date: 01/23/2020
  • Last Update Date: 02/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325479330
  • Enrollment ID: O20200507000556

Medical Identifiers

Medical identifiers for Crockett Spine & Sport Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174153738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Crockett Spine & Sport Pllc acts as a billing entity for following providers:
Provider NameJake Wayne Whitby
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1922547116
PECOS PAC ID: 8325325301
Enrollment ID: I20170428001076

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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. Crockett Spine & Sport Pllc 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
Crockett Spine & Sport Pllc
70 Pecan St,
Alamo, TN 38001-1403

Ph: (731) 696-2525
Crockett Spine & Sport Pllc
143 S Bells St,
Alamo, TN 38001-1731

Ph: (731) 696-2525

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Chiropractor in Alamo, TN


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