| Chiroplus Complimentary Health Care Center Llc | |
|
505 Lake Street, Green Lake, WI 54941 | |
| (920) 294-3130 | |
| (920) 294-3238 |
| Full Name | Chiroplus Complimentary Health Care Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 505 Lake Street, Green Lake, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144385873 | NPI | - | NPPES |
| 38873800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3020 (Wisconsin) | Primary |
| Provider Name | Robin R Beatty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235451493 PECOS PAC ID: 6002946449 Enrollment ID: I20100611000463 |
| Provider Name | Colleen A Pomplun |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013072750 PECOS PAC ID: 6406865542 Enrollment ID: I20110603000545 |
| Provider Name | Amanda M Oberc |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013566421 PECOS PAC ID: 7618208760 Enrollment ID: I20191004000067 |
| Provider Name | Chelsea Ann Kastein |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598389801 PECOS PAC ID: 5698190940 Enrollment ID: I20200803002299 |
| Provider Name | Ling Jin Yan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013581172 PECOS PAC ID: 1658777131 Enrollment ID: I20210908003262 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiroplus Complimentary Health Care Center Llc Po Box 458, Green Lake, WI 54941-0458 Ph: (920) 294-3130 | Chiroplus Complimentary Health Care Center Llc 505 Lake Street, Green Lake, WI 54941 Ph: (920) 294-3130 |
Colleen Pomplun, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 505 Lake Street, Green Lake, WI 54941 Phone: 920-294-3130 Fax: 855-410-0730 | |
Miss Amanda M Hetzel, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 505 Lake St, Green Lake, WI 54941 Phone: 920-294-3130 Fax: 920-294-3238 | |
Andrea M King, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 610 South St, Green Lake, WI 54941 Phone: 920-229-7215 | |
Chelsea Ann Kastein, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 505 Lake St, Green Lake, WI 54941 Phone: 920-294-3130 Fax: 855-410-0730 |