Dr Kayla Ellen Wagoner, DC | |
454 Rolling Ridge Dr, Suite 4, State College, PA 16801-7696 | |
(814) 954-4182 | |
Not Available |
Full Name | Dr Kayla Ellen Wagoner |
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Gender | Female |
Speciality | Chiropractor |
Location | 454 Rolling Ridge Dr, State College, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801229893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC010874 (Pennsylvania) | Primary |
Provider Name | Fawn C Shaffer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568549509 PECOS PAC ID: 5991703902 Enrollment ID: I20061129000025 |
Provider Name | Nittany Valley Chiropractic Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295810687 PECOS PAC ID: 2062737083 Enrollment ID: O20150216001641 |
Mailing Address | Practice Location Address |
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Dr Kayla Ellen Wagoner, DC 454 Rolling Ridge Dr, Suite 4, State College, PA 16801-7696 Ph: (814) 954-4182 | Dr Kayla Ellen Wagoner, DC 454 Rolling Ridge Dr, Suite 4, State College, PA 16801-7696 Ph: (814) 954-4182 |
Dr. Joel M Casteel, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1411 N Atherton St, State College, PA 16803 Phone: 814-235-9400 Fax: 814-235-9444 | |
Dr. Roy Michael Love, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 611 University Drive, State College, PA 16801 Phone: 814-234-5271 Fax: 814-234-9730 | |
Dr. Paul D. Lamb, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 476 Rolling Ridge Drive Suite 200, State College, PA 16801 Phone: 814-231-2101 Fax: 814-231-8569 | |
Rothrock Chiropractic And Rehabilitation Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1402 S Atherton St Ste 204, State College, PA 16801 Phone: 814-441-5532 Fax: 814-556-2110 | |
Dr. Bradley Scott Kulig, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-234-5271 | |
Phoenix Rehabilitation And Health Services, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1700 Old Gatesburg Rd, Suite 210, State College, PA 16803 Phone: 814-278-1912 Fax: 814-278-1921 | |
Dr. Tyler Robert Phillips, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1315 W College Ave Ste 200, State College, PA 16801 Phone: 814-237-5559 |