Dr Brandon James Wagner, DC | |
3778 Union St, Lafayette, IN 47905-4453 | |
(765) 448-1674 | |
Not Available |
Full Name | Dr Brandon James Wagner |
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Gender | Male |
Speciality | Chiropractor |
Location | 3778 Union St, Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801567524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 08003257A (Indiana) | Primary |
Provider Name | Pure Life Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699428185 PECOS PAC ID: 2567858277 Enrollment ID: O20220406000695 |
Mailing Address | Practice Location Address |
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Dr Brandon James Wagner, DC 6504 Amherst Way, Zionsville, IN 46077-9138 Ph: (765) 412-2490 | Dr Brandon James Wagner, DC 3778 Union St, Lafayette, IN 47905-4453 Ph: (765) 448-1674 |
Dr. Jessica Avery Karns, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3806 Amelia Ave, Lafayette, IN 47905 Phone: 765-807-2773 | |
Dr. James M Pucka, DC, LAC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 983 S Creasy Ln, Lafayette, IN 47905 Phone: 765-446-0000 | |
Winger Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 511 S 16th St, Lafayette, IN 47905 Phone: 765-742-2716 Fax: 765-807-0005 | |
Tyler Mark Frizzi, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1716 Hartford St, Lafayette, IN 47904 Phone: 765-742-1567 Fax: 765-742-2750 | |
Dr. Michael D Daubenspeck, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 40 Professional Ct, Lafayette, IN 47905 Phone: 765-447-2222 Fax: 765-447-7051 | |
Dr. Britney Renee Miller, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 5926 E 50 S, Lafayette, IN 47905 Phone: 765-586-8292 | |
Dr. Emma Jewel Balensiefer, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1605 Cottonwood Cir, Lafayette, IN 47905 Phone: 765-337-8603 |