Boonville Chiropractic Llc - Medicare Primary Care in Boonville, MO

Boonville Chiropractic Llc is a medicare enrolled primary clinic (Clinic/center) in Boonville, Missouri. The current practice location for Boonville Chiropractic Llc is 321 Main St, Boonville, Missouri. For appointments, you can reach them via phone at (660) 882-5775. The mailing address for Boonville Chiropractic Llc is 321 Main St, Boonville, Missouri and phone number is (660) 882-5775.

Boonville Chiropractic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154090710. 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 (660) 882-5775.

Contact Information

Boonville Chiropractic Llc
321 Main St
Boonville
MO 65233-1565
(660) 882-5775
Not Available

Primary Care Clinic Profile

Full NameBoonville Chiropractic Llc
SpecialityClinic/Center
Location321 Main St, Boonville, Missouri
Authorized Official Name and PositionTanner Green (OWNER)
Authorized Official Contact6605374773
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Boonville Chiropractic Llc
321 Main St
Boonville
MO 65233-1565

Ph: (660) 882-5775
Boonville Chiropractic Llc
321 Main St
Boonville
MO 65233-1565

Ph: (660) 882-5775

NPI Details:

NPI Number1154090710
Provider Enumeration Date09/08/2021
Last Update Date09/08/2021

Medicare PECOS Information:

Medicare PECOS PAC ID5597163675
Medicare Enrollment IDO20211004001307

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Medical Identifiers

Medical identifiers for Boonville Chiropractic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154090710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (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. Boonville Chiropractic Llc acts as a billing entity for following providers:
Provider NameTanner Wayne Green
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1578146841
PECOS PAC ID: 6406254580
Enrollment ID: I20211004001396

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Clinic/Center in Boonville, MO

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Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 17040 Klinton Dr, Boonville, MO 65233
Phone: 660-882-2626    Fax: 660-882-2586
Cooper County Rural Health Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 17601 B Hwy, Boonville, MO 65233
Phone: 660-882-7461    Fax: 660-882-6093
John M. Ward, D.o., P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 306 Main St, Boonville, MO 65233
Phone: 660-882-2451    Fax: 660-882-2434
Dancing Horizon Health Foundation, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Boonslick Drive, Boonville, MO 65233
Phone: 660-882-9840    Fax: 660-882-3504

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