Lance Michael Eckenrode, D.C.
Individual provider Active NPI Chiropractor · Bedford, PA
NPI 1508013095 · NPPES record last updated Mar 14, 2018
Key facts
- NPI
- 1508013095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC009979 (PA)
- Practice address
- 444 E. Penn St
Bedford, PA 15522-3765 - Phone
- (814) 623-6536
- Fax
- (814) 623-6304
- NPI assigned
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
444 E Penn St
Bedford, PA 15522-1435
Phone (814) 623-6536
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081223000459 | PA | Practitioner - Chiropractic | 0345302477 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic of Bedford, LLC | Chiropractor | Current |
Accepting new patients |
| Allen Chiropractic Center Inc | Chiropractor | Past |
Accepting new patients |
Locations
444 E Penn St
Bedford, PA 15522
Phone (814) 623-6536
9485 Lincoln Hwy
Unit 1
Bedford, PA 15522
Phone (814) 312-2117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009979 | PA | Yes |
Addresses
Primary practice location
444 E. Penn St
Bedford, PA 15522-3765
Mailing address
9485 Lincoln Hwy
Unit 1 Lincoln Center II
Bedford, PA 15522-3765
Phone (814) 623-6536
Other providers in Bedford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 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.