| Dr Kristopher Forrest Fagan, DC | |
|
108 Myrtle Ridge Rd Ste B, Lutz, FL 33549-5645 | |
| (813) 265-8200 | |
| (813) 406-4438 |
| Full Name | Dr Kristopher Forrest Fagan |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 108 Myrtle Ridge Rd Ste B, Lutz, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437204260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH 9332 (Florida) | Primary |
| Provider Name | Gateway Wellness And Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952511693 PECOS PAC ID: 5294737490 Enrollment ID: O20070131000589 |
| Provider Name | Connerton Urgent Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558845313 PECOS PAC ID: 4284017245 Enrollment ID: O20220824001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristopher Forrest Fagan, DC 108 Myrtle Ridge Rd Ste B, Lutz, FL 33549-5645 Ph: (813) 265-8200 | Dr Kristopher Forrest Fagan, DC 108 Myrtle Ridge Rd Ste B, Lutz, FL 33549-5645 Ph: (813) 265-8200 |
Dr. Priya M Amin, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 18942 N Dale Mabry Hwy, #102, Lutz, FL 33548 Phone: 813-909-0961 | |
Dr. Dominador Reyno Uy Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1930 Land O Lakes Blvd Ste 16, Lutz, FL 33549 Phone: 813-909-7171 Fax: 813-909-7184 | |
Dr. Victoria Lyn Ketch, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18514 N Dale Mabry Hwy, Lutz, FL 33548 Phone: 813-313-0500 | |
100 Chiro Barry Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 25609 Sierra Center Blvd, Lutz, FL 33559 Phone: 240-423-4996 | |
John Granone, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16541 Pointe Village Dr, Suite 209, Lutz, FL 33558 Phone: 813-336-4461 Fax: 813-336-4466 | |
Dr. Sev Marshal Kessler, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 17551 N Dale Mabry Hwy, Lutz, FL 33548 Phone: 813-618-5589 | |
Alexis Kathryn Winters, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21754 State Road 54, Lutz, FL 33549 Phone: 813-428-5648 |