Dr Jennifer Marie Lidstrom, MS,DC,PC | |
19924 Jetton Rd, Suite 101, Cornelius, NC 28031-8250 | |
(704) 876-8446 | |
(704) 896-8495 |
Full Name | Dr Jennifer Marie Lidstrom |
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Gender | Female |
Speciality | Chiropractic |
Experience | 23 Years |
Location | 19924 Jetton Rd, Cornelius, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073618708 | NPI | - | NPPES |
89085RN | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3249 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jennifer Lidstrom Ms, Dc, Pc | 8921012709 | 3 |
Provider Name | Jennifer Lidstrom Ms, Dc, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033125240 PECOS PAC ID: 8921012709 Enrollment ID: O20060131000927 |
Mailing Address | Practice Location Address |
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Dr Jennifer Marie Lidstrom, MS,DC,PC 19924 Jetton Rd, Suite 101, Cornelius, NC 28031-8250 Ph: (704) 876-8446 | Dr Jennifer Marie Lidstrom, MS,DC,PC 19924 Jetton Rd, Suite 101, Cornelius, NC 28031-8250 Ph: (704) 876-8446 |
Dr. Laura Anne Jussila Watterson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19924 Jetton Rd, Cornelius, NC 28031 Phone: 704-896-8446 | |
Dr. Michael Wayne Chandler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19824 W Catawba Ave Ste E, Cornelius, NC 28031 Phone: 704-655-8930 Fax: 704-655-8932 | |
Lakeside Sports Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 19924 Jetton Rd Ste 101, Cornelius, NC 28031 Phone: 704-896-8446 Fax: 704-896-8495 | |
Jon Michael Vezendy, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 20723 Torrence Chapel Rd, Ste 201, Cornelius, NC 28031 Phone: 704-895-2240 Fax: 704-765-4077 | |
Michael W. Chandler Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19824 W Catawba Ave Ste E, Cornelius, NC 28031 Phone: 704-655-8930 Fax: 704-655-8932 | |
Cre Group Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 19109 W Catawba Ave Ste 100, Cornelius, NC 28031 Phone: 704-237-4010 |