Individual provider Active NPI

Rebecca Lynn Pangemanan, D.C.

  • Chiropractor
  • Lawrenceburg, KY
National Provider Identifier
1215011010
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4919 Issued in KY
Practice address
1004 Dewey Dr Ste C
Lawrenceburg, KY 40342-1761
Phone
(502) 839-7171
Fax
(502) 839-4441
NPI assigned
Oct 25, 2006
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4919 KY Primary

Addresses

Primary practice location

1004 Dewey Dr Ste C
Lawrenceburg, KY 40342-1761

Mailing address

1004 Dewey Dr Ste C
Lawrenceburg, KY 40342-1761
Phone (502) 839-7171

Other identifiers 1

IdentifierTypeStateIssuer
85003697MedicaidKY

Other names 1

  • Dr. Rebecca Lynn Mealiff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000066 KY Practitioner - Chiropractic 8628022233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthur Pangemanan DC LLCGroup PAC ID 2769435643, 3 clinicians
Max Family Chiropractic , Rebecca Pangemanan DC LLCGroup PAC ID 3577995539, 3 clinicians

Practice addresses (Care Compare)

1004 Dewey Dr
Suite C
Lawrenceburg, KY 40342-1761
Phone (502) 839-7171

108 Pasadena Dr
Suite 110
Lexington, KY 40503-2966
Phone (859) 303-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Max Family Chiropractic , Rebecca Pangemanan DC LLC Chiropractor CurrentSince Apr 15, 2019 Accepting new patients
Arthur Pangemanan DC LLC Chiropractor CurrentSince Mar 1, 2005 Accepting new patients

Locations

1004 Dewey Dr
#C
Lawrenceburg, KY 40342
Phone (502) 839-7171

108 Pasadena Dr
Ste 110
Lexington, KY 40503
Phone (502) 839-7171

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1215011010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 DEWEY DR STE C",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403421761",
            "telephone_number": "502-839-7171",
            "fax_number": "502-839-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 DEWEY DR STE C",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403421761",
            "telephone_number": "502-839-7171",
            "fax_number": "502-839-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGEMANAN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003697",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MEALIFF",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.