| Dr David P Picchietti, DC | |
|
11316 W Wadsworth Road, Beach Park, IL 60099-3367 | |
| (847) 872-3456 | |
| (847) 872-3557 |
| Full Name | Dr David P Picchietti |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 34 Years |
| Location | 11316 W Wadsworth Road, Beach Park, Illinois |
| 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 |
|---|---|---|---|
| 1336202589 | NPI | - | NPPES |
| 04982014 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038007199 (Illinois) | Primary |
| 111N00000X | Chiropractor | 2947012 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dr John T Patenaude And Dr David P Picchietti Sc | 9931126331 | 2 |
| Provider Name | Dr John T Patenaude & Dr David P Picchietti SC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205963659 PECOS PAC ID: 9931126331 Enrollment ID: O20051025000813 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David P Picchietti, DC 11316 W Wadsworth Road, Beach Park, IL 60099-3367 Ph: (847) 872-3456 | Dr David P Picchietti, DC 11316 W Wadsworth Road, Beach Park, IL 60099-3367 Ph: (847) 872-3456 |
Maves Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 11316 W Wadsworth Road, Beach Park, IL 60099 Phone: 847-872-3456 Fax: 847-872-3557 |
Dr. John T Patenaude, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 11316 W Wadsworth Rd, Beach Park, IL 60099 Phone: 847-872-3456 Fax: 847-872-3557 |