| Derek Wade Stickler, DC | |
|
2447 S Prairie Ave, Pueblo, CO 81005-2886 | |
| (254) 394-0836 | |
| Not Available |
| Full Name | Derek Wade Stickler |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 12 Years |
| Location | 2447 S Prairie Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629326905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 6888 (Colorado) | Secondary |
| 111N00000X | Chiropractor | 6888 (Colorado) | Primary |
| Provider Name | Longevity Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174875298 PECOS PAC ID: 5395177513 Enrollment ID: O20191108001815 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Wade Stickler, DC 2447 S Prairie Ave, Pueblo, CO 81005-2886 Ph: (254) 394-0836 | Derek Wade Stickler, DC 2447 S Prairie Ave, Pueblo, CO 81005-2886 Ph: (254) 394-0836 |
Dr. Scott Charles Cuthbert, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 255 West Abriendo Ave, Pueblo, CO 81004 Phone: 719-544-1468 Fax: 719-543-2357 | |
Dr. Theodore W Davis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2505 Kachina Dr, Pueblo, CO 81008 Phone: 719-544-2009 Fax: 719-253-7734 | |
Lancaster Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 4736 Eagleridge Cir, Pueblo, CO 81008 Phone: 719-404-1489 Fax: 719-545-0642 | |
Dr. William R Thomas Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 725 Desert Flower Blvd, Pueblo, CO 81001 Phone: 719-542-3131 Fax: 719-542-7437 | |
Dr. Robert Joseph Graham, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1211 Paseo Del Norte, Pueblo, CO 81008 Phone: 719-542-1399 Fax: 719-583-2024 | |
Colorado Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 3606 Morris Ave Ste B, Pueblo, CO 81008 Phone: 719-546-2446 | |
Charlotte Winnette Fleming, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 255 W. Abriendo Ave., Pueblo, CO 81004 Phone: 719-544-1468 Fax: 719-543-2357 |