Dr Jesse Anderson, DC | |
982 N Taylor St, Green Bay, WI 54303-1202 | |
(920) 471-9449 | |
Not Available |
Full Name | Dr Jesse Anderson |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 11 Years |
Location | 982 N Taylor St, Green Bay, 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 |
---|---|---|---|
1518368836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5043 - 12 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Appleton Wellness Way Llc | 2860798808 | 3 |
Provider Name | Appleton Wellness Way Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376908061 PECOS PAC ID: 2860798808 Enrollment ID: O20160317000154 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse Anderson, DC 982 N Taylor St, Green Bay, WI 54303-1202 Ph: (920) 471-9449 | Dr Jesse Anderson, DC 982 N Taylor St, Green Bay, WI 54303-1202 Ph: (920) 471-9449 |
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