Active Chiropractic Limited Liability Company Pa | |
439 Main St, Suite 104, Saco, ME 04072-1528 | |
(207) 571-8028 | |
(866) 213-8207 |
Full Name | Active Chiropractic Limited Liability Company Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 439 Main St, Saco, Maine |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013094291 | NPI | - | NPPES |
U56702 | Other | ME | HARVARD PILGRAM |
0020752 | Other | ME | MEDICARE PTAN |
022530 | Other | ME | BLUE CROSS BLUE SHIELD |
05Z044016ME02 | Other | ME | FEDERAL EMPLOYEE PLANS |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CR1313 (Maine) | Primary |
Provider Name | Brent Reiche |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780762211 PECOS PAC ID: 9032152780 Enrollment ID: I20050603000837 |
Mailing Address | Practice Location Address |
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Active Chiropractic Limited Liability Company Pa 439 Main St, Suite 104, Saco, ME 04072-1528 Ph: (207) 571-8028 | Active Chiropractic Limited Liability Company Pa 439 Main St, Suite 104, Saco, ME 04072-1528 Ph: (207) 571-8028 |
Dr. Frederick William Heidrich, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 52 King St, Saco, ME 04072 Phone: 207-284-2059 | |
Dr. Roland Joseph Chasse, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7 Hutchins St, Saco, ME 04072 Phone: 207-282-5233 Fax: 207-282-1395 | |
Jordan A Garlock, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3 Eastview Pkwy Ste 3, Saco, ME 04072 Phone: 207-284-1800 Fax: 207-284-1802 | |
Dr. Brent Thomas Reiche, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 439 Main St, Saco, ME 04072 Phone: 207-571-8028 Fax: 866-213-8207 | |
Southern Maine Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3 Eastview Pkwy Ste 3, Saco, ME 04072 Phone: 207-284-1800 Fax: 207-284-1802 | |
David W. Benham, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 575 Main St, Saco, ME 04072 Phone: 207-283-0232 Fax: 207-286-8643 |