| Brandon Lee Nissen, DC | |
|
3381 Deer Valley Rd, Antioch, CA 94531-6664 | |
| (925) 757-7571 | |
| (925) 757-7114 |
| Full Name | Brandon Lee Nissen |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 3381 Deer Valley Rd, Antioch, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508565169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC36545 (Idaho) | Primary |
| Provider Name | Mushin Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982009122 PECOS PAC ID: 1052638525 Enrollment ID: O20150320000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Lee Nissen, DC 1342 E Covey Run Ct, Eagle, ID 83616-4273 Ph: (925) 584-8166 | Brandon Lee Nissen, DC 3381 Deer Valley Rd, Antioch, CA 94531-6664 Ph: (925) 757-7571 |
Stacey A Duckett Chiropractic Corporation Chiropractor Medicare: Medicare Enrolled Practice Location: 1407 A St, D, Antioch, CA 94509 Phone: 925-777-3334 | |
Martin Anthony Soares, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3638 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-777-0808 Fax: 925-777-0899 | |
Dr. Claude Heifetz, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3700 Delta Fair Blvd, Suite L, Antioch, CA 94509 Phone: 925-778-3288 Fax: 925-778-2410 | |
Noble O. Elcenko, D.c., Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2800 Lone Tree Way, Antioch, CA 94509 Phone: 925-754-6868 Fax: 925-754-5016 | |
Dr. Brenda Rose Basconcillo Ramos, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3700 Delta Fair Blvd Ste L, Antioch, CA 94509 Phone: 925-778-3288 Fax: 925-778-2410 | |
Dr. Stacey Ann Duckett, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3432 Hillcrest Ave Ste 200, Antioch, CA 94531 Phone: 925-777-3334 | |
Ramos & Hatch Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3700 Delta Fair Blvd Ste L, Antioch, CA 94509 Phone: 925-778-3288 Fax: 925-778-2410 |