Back To Wellness Plc - Medicare Primary Care in South Burlington, VT

Back To Wellness Plc is a medicare enrolled primary clinic (Clinic/center) in South Burlington, Vermont. The current practice location for Back To Wellness Plc is 368 Dorset St Ste 3, South Burlington, Vermont. For appointments, you can reach them via phone at (802) 864-4959. The mailing address for Back To Wellness Plc is 368 Dorset St Ste 3, South Burlington, Vermont and phone number is (802) 864-4959.

Back To Wellness Plc is licensed to practice in Vermont (license number 006-0000998). The clinic also participates in the medicare program and its NPI number is 1912211210. 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 (802) 864-4959.

Contact Information

Back To Wellness Plc
368 Dorset St Ste 3
South Burlington
VT 05403-6236
(802) 864-4959
(802) 864-4959

Primary Care Clinic Profile

Full NameBack To Wellness Plc
SpecialityClinic/Center
Location368 Dorset St Ste 3, South Burlington, Vermont
Authorized Official Name and PositionHeather Lynn Diederich (OWNER)
Authorized Official Contact8024346669
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Back To Wellness Plc
368 Dorset St Ste 3
South Burlington
VT 05403-6236

Ph: (802) 864-4959
Back To Wellness Plc
368 Dorset St Ste 3
South Burlington
VT 05403-6236

Ph: (802) 864-4959

NPI Details:

NPI Number1912211210
Provider Enumeration Date07/29/2010
Last Update Date09/21/2011

Medicare PECOS Information:

Medicare PECOS PAC ID4981876349
Medicare Enrollment IDO20111006000263

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Medical Identifiers

Medical identifiers for Back To Wellness Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912211210NPI-NPPES
VN1626MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 006-0000998 (Vermont)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Back To Wellness Plc acts as a billing entity for following providers:
Provider NameHeather L Diederich
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1326101080
PECOS PAC ID: 3870765233
Enrollment ID: I20111006000293

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