Dr Randy William Mccall, DC | |
105 E Main St, Reynoldsville, PA 15851-1244 | |
(814) 653-9514 | |
(814) 653-8842 |
Full Name | Dr Randy William Mccall |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 105 E Main St, Reynoldsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508852088 | NPI | - | NPPES |
0006197200001 | Medicaid | PA | |
1503611 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC001679L (Pennsylvania) | Primary |
Provider Name | Reynoldsville Chiropractic Life Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891104196 PECOS PAC ID: 2668797895 Enrollment ID: O20150211000907 |
Mailing Address | Practice Location Address |
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Dr Randy William Mccall, DC 105 E Main St, Reynoldsville, PA 15851-1244 Ph: (814) 653-9514 | Dr Randy William Mccall, DC 105 E Main St, Reynoldsville, PA 15851-1244 Ph: (814) 653-9514 |
Tara Brooke Centra, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 E Main St, Reynoldsville, PA 15851 Phone: 814-653-9514 Fax: 814-653-8842 | |
Nicholas Angelo Centra, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 E Main St, Reynoldsville, PA 15851 Phone: 814-653-9514 Fax: 814-653-8842 | |
Dr. Corey A Bookhamer, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 E Main St, Reynoldsville, PA 15851 Phone: 814-653-9514 Fax: 814-653-8842 | |
Reynoldsville Chiropractic Life Center, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 105 E Main St, Reynoldsville, PA 15851 Phone: 814-653-9514 Fax: 814-653-8842 |