Dr Channing C Bolick, MS, DC | |
500 E Horatio Ave, Suite 5, Maitland, FL 32751-7310 | |
(407) 629-5333 | |
(407) 629-5343 |
Full Name | Dr Channing C Bolick |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 26 Years |
Location | 500 E Horatio Ave, Maitland, Florida |
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 |
---|---|---|---|
1316936206 | NPI | - | NPPES |
CH7882 | Other | FL | STATE LICENSE NUMBER |
2800039-00 | Medicaid | FL | |
350050297 | Other | FL | RAILROAD MEDICARE |
4573235 | Other | FL | GHI PROVIDER NUMBER |
1455405 | Other | FL | CIGNA PROVIDER NUMBER |
53988 | Other | FL | ASHLINK PIN |
55996 | Other | FL | BLUE CROSS NUMBER |
945833 | Other | FL | PPNI PROVIDER NUMBER |
K1903 | Other | FL | MEDICARE GROUP NUMBER |
P10000175970 | Other | FL | SUNSHINE STATE |
10728811 | Other | CAQH NUMBER | |
332352 | Other | FL | AVMED PROVIDER NUMBER |
544703 | Other | WELLCARE/STAYWELL MEDICARE & MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH7882 (Florida) | Primary |
111N00000X | Chiropractor | 2398 (South Carolina) | Secondary |
111N00000X | Chiropractor | 6191 (Georgia) | Secondary |
Provider Name | The Bolick Clinic, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073680088 PECOS PAC ID: 4284617119 Enrollment ID: O20040610001401 |
Mailing Address | Practice Location Address |
---|---|
Dr Channing C Bolick, MS, DC 500 E Horatio Ave, Suite 5, Maitland, FL 32751-7310 Ph: (407) 629-5333 | Dr Channing C Bolick, MS, DC 500 E Horatio Ave, Suite 5, Maitland, FL 32751-7310 Ph: (407) 629-5333 |
Dr. Morgan Xiomara Horn, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 171 S Orlando Ave Ste A, Maitland, FL 32751 Phone: 689-206-0210 | |
Maitland Chiropractic Clinic Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 500 S Maitland Ave, Maitland, FL 32751 Phone: 407-628-9999 Fax: 407-628-2917 | |
Jessica Mitchell, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1720 Fennell St, Suite 6, Maitland, FL 32751 Phone: 321-972-4422 Fax: 321-800-3038 | |
Uche Ukeagu, Chiropractor Medicare: Medicare Enrolled Practice Location: 100 E Sybelia Ave Ste 217, Maitland, FL 32751 Phone: 954-415-5931 | |
The Bolick Clinic, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 500 E Horatio Ave, Suite 5, Maitland, FL 32751 Phone: 407-629-5333 Fax: 407-629-5343 | |
Zen Chiro Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 132 Lake Ave, Suite 132, Maitland, FL 32751 Phone: 407-960-3656 | |
100 Chiro Rosado Maitland Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 171 S Orlando Ave Ste A, Maitland, FL 32751 Phone: 772-201-5849 |