Ruddell Chiropractic Clinic - Medicare Chiropractor in Lewiston, ID

Ruddell Chiropractic Clinic is a medicare enrolled "Chiropractor" provider in Lewiston, Idaho. Their current practice location is 1117 16th Ave, Lewiston, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 743-8401.

Ruddell Chiropractic Clinic is licensed to practice in Idaho (license number CHIA-503) and it also participates in the medicare program. Ruddell Chiropractic Clinic 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 1225235906.

Contact Information

Ruddell Chiropractic Clinic
1117 16th Ave,
Lewiston, ID 83501-3739
(208) 743-8401
(208) 743-8722



Healthcare Provider's Profile

Full NameRuddell Chiropractic Clinic
TypeFacility
SpecialityChiropractor
Location1117 16th Ave, Lewiston, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225235906
  • Provider Enumeration Date: 06/27/2007
  • Last Update Date: 03/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5395907729
  • Enrollment ID: O20120501000835

Medical Identifiers

Medical identifiers for Ruddell Chiropractic Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225235906NPI-NPPES
805054900MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor CHIA-503 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ruddell Chiropractic Clinic acts as a billing entity for following providers:
Provider NameBrian T Ruddell
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1770648388
PECOS PAC ID: 6103088539
Enrollment ID: I20120510000637

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Provider NameKevin P Ruddell
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1013072669
PECOS PAC ID: 5597928424
Enrollment ID: I20120512000000

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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. Ruddell Chiropractic Clinic 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
Ruddell Chiropractic Clinic
1117 16th Ave,
Lewiston, ID 83501-3739

Ph: (208) 743-8401
Ruddell Chiropractic Clinic
1117 16th Ave,
Lewiston, ID 83501-3739

Ph: (208) 743-8401

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Chiropractor in Lewiston, ID

Dr. Kevin Patrick Ruddell, DC
Chiropractor
Medicare: May Accept Medicare Assignments
Practice Location: 1117 16th Avenue, Lewiston, ID 83501
Phone: 208-743-8401    Fax: 208-743-8722
Codi Fuller, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 30207 Rosenkrantz Rd, Lewiston, ID 83501
Phone: 208-691-8647    
Lewiston Family Chiropractic
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 3510 12th St Ste 200, Lewiston, ID 83501
Phone: 208-799-3333    Fax: 208-799-3375
Dr. Susan Jane Aubuchon, R.N., D.C.
Chiropractor
Medicare: May Accept Medicare Assignments
Practice Location: 3316 1/2 4th St, Ste 4a, Lewiston, ID 83501
Phone: 208-798-5420    Fax: 208-798-5430
Dr. Grover Lynn Mallard, DC
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 3320 10th St, Lewiston, ID 83501
Phone: 208-746-5226    Fax: 208-746-5268
Dr. Thomas Boyer, DC
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 717 D Street, Lewiston, ID 83501
Phone: 208-743-1424    Fax: 208-743-2803

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