Dr Payton Mancabelli, DC | |
55 Ghent Rd Ste C, Fairlawn, OH 44333-3351 | |
(330) 223-5977 | |
Not Available |
Full Name | Dr Payton Mancabelli |
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Gender | Female |
Speciality | Chiropractor |
Location | 55 Ghent Rd Ste C, Fairlawn, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154109361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC-05263 (Ohio) | Primary |
Provider Name | Western Reserve Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699553818 PECOS PAC ID: 9830548718 Enrollment ID: O20231218003325 |
Mailing Address | Practice Location Address |
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Dr Payton Mancabelli, DC 55 Ghent Rd Ste C, Fairlawn, OH 44333-3351 Ph: (330) 223-5977 | Dr Payton Mancabelli, DC 55 Ghent Rd Ste C, Fairlawn, OH 44333-3351 Ph: (330) 223-5977 |
Conscious Wellness, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 129 Ghent Rd., Fairlawn, OH 44333 Phone: 234-208-6805 | |
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