Adrienne Ann Hagedorn, D.C
Individual provider Active NPI Chiropractor · Brazil, IN
NPI 1275938706 · NPPES record last updated Oct 27, 2014
Key facts
- NPI
- 1275938706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002796A (IN)
- Practice address
- 501 E US Hwy 40
Brazil, IN 47834-2633 - Phone
- (812) 448-8404
- Fax
- (812) 443-1427
- NPI assigned
- Oct 27, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- A Back and Neck Pain Center Inc
Practice addresses (Care Compare)
501 E US Hwy 40
Brazil, IN 47834-2633
501 US Hwy 40 E
Brazil, IN 47834-2633
Phone (812) 448-8404
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141209000747 | IN | Practitioner - Chiropractic | 9931421641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002796A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Back & Neck Pain Center Inc | Chiropractor | Current |
Accepting new patients |
Locations
501 US Highway 40 E
Brazil, IN 47834
Phone (812) 442-1705
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002796A | IN | Yes |
Addresses
Primary practice location
501 E US Hwy 40
Brazil, IN 47834-2633
Mailing address
P.O. Box 244
Brazil, IN 47834-2619
Phone (812) 448-8404
Other providers in Brazil, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.