Carl R Peterson, DC | |
113 Central Ave, Coon Valley Chiropractic, Coon Valley, WI 54623 | |
(608) 452-2525 | |
(608) 452-2526 |
Full Name | Carl R Peterson |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 30 Years |
Location | 113 Central Ave, Coon Valley, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144281684 | NPI | - | NPPES |
263J1PE | Other | MN | BC/BS MN # |
350041526 | Other | WI | RR MEDICARE # |
38880400 | Medicaid | WI | |
0006 | Other | WI | MEDICARE SEQUENCE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3132 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coon Valley Chiropractic Sc | 6901856053 | 2 |
Provider Name | Coon Valley Chiropractic Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275610222 PECOS PAC ID: 6901856053 Enrollment ID: O20050126000569 |
Mailing Address | Practice Location Address |
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Carl R Peterson, DC 113 Central Ave, Coon Valley Chiropractic, Coon Valley, WI 54623 Ph: (608) 452-2525 | Carl R Peterson, DC 113 Central Ave, Coon Valley Chiropractic, Coon Valley, WI 54623 Ph: (608) 452-2525 |
Coon Valley Chiropractic S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 113 Central Ave, Coon Valley, WI 54623 Phone: 608-452-2525 Fax: 608-452-2526 | |
Dr. Mark Westphal, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 Central Ave, Coon Valley, WI 54623 Phone: 608-452-2525 Fax: 608-452-2526 | |
Marypat C Peterson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 Central Ave, Coon Valley, WI 54623 Phone: 608-452-2525 Fax: 608-452-2526 |