Dr Brenda L Joyce-reidt, DC | |
17 5th Ave, Shell Lake, WI 54871-0637 | |
(715) 468-2275 | |
Not Available |
Full Name | Dr Brenda L Joyce-reidt |
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Gender | Female |
Speciality | Chiropractor |
Location | 17 5th Ave, Shell Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699829606 | NPI | - | NPPES |
38866300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2642 (Wisconsin) | Primary |
111N00000X | Chiropractor | 2863 (Minnesota) | Secondary |
Provider Name | Shell Lake Cumberland Chiropractic Clinics Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023786324 PECOS PAC ID: 3577951904 Enrollment ID: O20211103002951 |
Mailing Address | Practice Location Address |
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Dr Brenda L Joyce-reidt, DC Po Box 637, Shell Lake, WI 54871-0637 Ph: (715) 468-2275 | Dr Brenda L Joyce-reidt, DC 17 5th Ave, Shell Lake, WI 54871-0637 Ph: (715) 468-2275 |
Shell Lake Cumberland Chiropractic Clinics Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 | |
Shell Lake Cumberland Chiropractic Clinics Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 | |
Dr. Jimmy A Reidt, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 |