Jason Nicholas Belcher, D.C.
Individual provider Active NPI Chiropractor · Wayne, WV
NPI 1275970691 · NPPES record last updated Oct 5, 2018
Key facts
- NPI
- 1275970691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH12593 (FL)
- Practice address
- 7355 US RT. 152
Wayne, WV 25570 - Phone
- (304) 522-6473
- NPI assigned
- May 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Edgewater Chiropractic Clinic, P.a.
Practice addresses (Care Compare)
201 S Ridgewood Ave
Suite 11
Edgewater, FL 32132-1935
Phone (386) 423-7575
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181116000685 | FL | Practitioner - Chiropractic | 3577707413 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seabreeze Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Edgewater Chiropractic Clinic, P.a. | Chiropractor | Current |
Accepting new patients |
| Thompson Chiropractic Corporation | Chiropractor | Past |
Accepting new patients |
| Ormond Beach Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
201 S Ridgewood Ave
Ste 11
Edgewater, FL 32132
Phone (386) 423-7575
570 Memorial Cir
Ste 100
Ormond Beach, FL 32174
Phone (386) 236-9765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH12593 | FL | Yes |
| Chiropractor | 111N00000X | 956 | WV |
Addresses
Primary practice location
7355 US RT. 152
Wayne, WV 25570
Mailing address
4705 Clyde Morris Blvd
Port Orange, FL 32129-4103
Phone (386) 763-2718
Other providers in Wayne, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2018. 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.