Dr Renee Irene Pethtel, DC | |
23610 Van Born Rd, Dearborn Heights, MI 48125-2356 | |
(313) 291-1060 | |
(313) 291-1089 |
Full Name | Dr Renee Irene Pethtel |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 28 Years |
Location | 23610 Van Born Rd, Dearborn Heights, Michigan |
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 |
---|---|---|---|
1760431977 | NPI | - | NPPES |
3264700 | Medicaid | MI | |
950H253460 | Other | MI | BCBS PPO |
140343 | Other | MI | PREFERRED CHOICES |
P101064 | Other | MI | BLUECARE NETWORK |
11285842 | Other | MI | CAQH |
RP007287 | Other | MI | BCBS ID |
U61953 | Other | MI | HAP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301007287 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Van Born Chiropractic Clinic, P.c. | 2769493048 | 2 |
Provider Name | Van Born Chiropractic Clinic, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821047861 PECOS PAC ID: 2769493048 Enrollment ID: O20060530000053 |
Mailing Address | Practice Location Address |
---|---|
Dr Renee Irene Pethtel, DC 23610 Van Born Rd, Dearborn Heights, MI 48125-2356 Ph: (313) 291-1060 | Dr Renee Irene Pethtel, DC 23610 Van Born Rd, Dearborn Heights, MI 48125-2356 Ph: (313) 291-1060 |
Dr. Kenneth Hughes, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 25010 Ford Rd, Dearborn Heights, MI 48127 Phone: 313-562-9966 | |
Hughes Chiropractic Life Center Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 25010 Ford Rd, Dearborn Heights, MI 48127 Phone: 313-562-9966 Fax: 313-562-9617 | |
Dr. Majed Hamadeh, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6919 N. Waverly Street, Dearborn Heights, MI 48127 Phone: 313-399-5101 | |
Burke Chiropractic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 26031 W Warren St, Suite A, Dearborn Heights, MI 48127 Phone: 313-565-5535 | |
Radwan Khazaal, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22030 Ford Rd, Suite B, Dearborn Heights, MI 48127 Phone: 313-477-2629 Fax: 313-228-5294 | |
Dr. Naiel Salameh, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22243 W Warren St, Dearborn Heights, MI 48127 Phone: 313-277-1985 Fax: 313-277-1313 | |
David Daniel Grant, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 23610 Van Born Rd, Dearborn Heights, MI 48125 Phone: 313-291-1060 |