Dr Ethan A Dull, DC | |
2343 Silvernail Rd, Pewaukee, WI 53072-5402 | |
(262) 542-4700 | |
(262) 542-7499 |
Full Name | Dr Ethan A Dull |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 26 Years |
Location | 2343 Silvernail Rd, Pewaukee, Wisconsin |
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 |
---|---|---|---|
1699831909 | NPI | - | NPPES |
38922600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | 3571 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chiropractic Care Center-waukesha,llc | 4183706344 | 2 |
Provider Name | Chiropractic Care Center-waukesha,llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063693166 PECOS PAC ID: 4183706344 Enrollment ID: O20080125000695 |
Mailing Address | Practice Location Address |
---|---|
Dr Ethan A Dull, DC 12711 W Meadow Ln, New Berlin, WI 53151-1831 Ph: (262) 542-4700 | Dr Ethan A Dull, DC 2343 Silvernail Rd, Pewaukee, WI 53072-5402 Ph: (262) 542-4700 |
Tara Marie Gill, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: N35w23770 Capitol Dr, Pewaukee, WI 53072 Phone: 262-695-1870 Fax: 262-695-1872 | |
The Chiropractors, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 690 Westfield Way Ste F, Pewaukee, WI 53072 Phone: 262-691-0997 Fax: 262-875-3593 | |
Chiropractic And Wellness On Pewaukee Lake Chiropractor Medicare: Medicare Enrolled Practice Location: 213 W Wisconsin Ave, Pewaukee, WI 53072 Phone: 262-695-0022 Fax: 262-695-0011 | |
Dr. Erin Elizabeth Nash, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2343 Silvernail Rd, Pewaukee, WI 53072 Phone: 262-548-9000 Fax: 262-548-8155 | |
Dr. Tad Alan Diciaula, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 213 W Wisconsin Ave, Pewaukee, WI 53072 Phone: 262-695-0022 Fax: 262-695-0011 | |
Marc Eliszewski, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1300 Capitol Dr Ste E, Pewaukee, WI 53072 Phone: 262-650-0701 Fax: 262-650-8101 | |
Dr. Katelyn Ann Dawson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: N35w23770 Capitol Dr, Pewaukee, WI 53072 Phone: 262-695-1870 |