Dr Lisa A Tack, DC | |
5131 Us Highway 62, Calvert City, KY 42029-8390 | |
(270) 395-4540 | |
(270) 395-7715 |
Full Name | Dr Lisa A Tack |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 29 Years |
Location | 5131 Us Highway 62, Calvert City, Kentucky |
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 |
---|---|---|---|
1619978129 | NPI | - | NPPES |
85001477 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4311 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bradley A Tack Psc | 7113952409 | 2 |
Provider Name | Bradley A Tack Psc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003969460 PECOS PAC ID: 7113952409 Enrollment ID: O20051005000995 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa A Tack, DC 330 Oak Shadow Ln, Benton, KY 42025-5494 Ph: (270) 527-8216 | Dr Lisa A Tack, DC 5131 Us Highway 62, Calvert City, KY 42029-8390 Ph: (270) 395-4540 |
Calvert City Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 5131 Us Highway 62, Calvert City, KY 42029 Phone: 270-395-4540 Fax: 270-395-7715 | |
Jacob Ryan Quint, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1665 Oak Park Blvd., Calvert City, KY 42029 Phone: 270-909-2200 Fax: 270-909-2201 | |
Scott C Stephenson, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1665 Oak Park Boulevard, Suite A, Calvert City, KY 42029 Phone: 270-395-9734 Fax: 270-395-0203 | |
Dr. Charles Epstein, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5131 Us Highway 62, Calvert City, KY 42029 Phone: 270-395-4540 Fax: 270-395-7715 | |
Dr. Bradley A Tack, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5131 Us Highway 62, Calvert City, KY 42029 Phone: 270-395-4540 Fax: 270-395-7715 |