Desoto County Chiropractic, Inc. - Medicare Primary Care in Southaven, MS

Desoto County Chiropractic, Inc. is a medicare enrolled primary clinic (Clinic/center - Health Service) in Southaven, Mississippi. The current practice location for Desoto County Chiropractic, Inc. is 1134 Church Rd W, Southaven, Mississippi. For appointments, you can reach them via phone at (662) 393-4848. The mailing address for Desoto County Chiropractic, Inc. is Po Box 175, Nesbit, Mississippi and phone number is (662) 393-4848.

Desoto County Chiropractic, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376882050. 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 (662) 393-4848.

Contact Information

Desoto County Chiropractic, Inc.
1134 Church Rd W
Southaven
MS 38671-7144
(662) 393-4848
(662) 393-4858

Primary Care Clinic Profile

Full NameDesoto County Chiropractic, Inc.
SpecialityClinic/Center
Location1134 Church Rd W, Southaven, Mississippi
Authorized Official Name and PositionDavid Chadwick Hall (PRESIDENT)
Authorized Official Contact9013383886
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Desoto County Chiropractic, Inc.
Po Box 175
Nesbit
MS 38651-0175

Ph: (662) 393-4848
Desoto County Chiropractic, Inc.
1134 Church Rd W
Southaven
MS 38671-7144

Ph: (662) 393-4848

NPI Details:

NPI Number1376882050
Provider Enumeration Date01/31/2013
Last Update Date01/31/2013

Medicare PECOS Information:

Medicare PECOS PAC ID4981918463
Medicare Enrollment IDO20150728004308

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Medical Identifiers

Medical identifiers for Desoto County Chiropractic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376882050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QH0100XClinic/center - Health Service (* (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. Desoto County Chiropractic, Inc. acts as a billing entity for following providers:
Provider NameDavid C Hall
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1275565285
PECOS PAC ID: 7012911688
Enrollment ID: I20141230001935

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Provider NameTroy A Reistroffer
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1104838259
PECOS PAC ID: 2567512445
Enrollment ID: I20150729007941

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