Dr Tommy Keith Gossett, DC | |
2009 Fox Drive, Champaign, IL 61820-7364 | |
(217) 351-8040 | |
(217) 239-5983 |
Full Name | Dr Tommy Keith Gossett |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2009 Fox Drive, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093760183 | NPI | - | NPPES |
0001082016 | Other | IL | BSBC PROVIDER # |
1093760183 | Other | IL | NPI # |
350001628 | Other | IL | RAILROAD MEDICARE PROV# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038003750 (Illinois) | Primary |
Provider Name | Gossett Global Health Solutions Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194381368 PECOS PAC ID: 7315273729 Enrollment ID: O20190723002744 |
Mailing Address | Practice Location Address |
---|---|
Dr Tommy Keith Gossett, DC 2009 Fox Dr, Suite C, Champaign, IL 61820-7363 Ph: (217) 351-8040 | Dr Tommy Keith Gossett, DC 2009 Fox Drive, Champaign, IL 61820-7364 Ph: (217) 351-8040 |
Dr. Edward Soojin Chun, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1207 S Mattis Ave, Ste2, Champaign, IL 61821 Phone: 217-355-5922 Fax: 217-355-5925 | |
Julie A Lorence, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1712 S. Duncan Road, Suite B, Champaign, IL 61822 Phone: 217-359-6625 Fax: 217-355-9771 | |
Dr. Matthew Brooks Butler, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2911 Crossing Court, Suite 101, Champaign, IL 61822 Phone: 217-359-0550 Fax: 217-359-0808 | |
Pride Clinic, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3105 Village Office Place, Champaign, IL 61822 Phone: 217-352-9108 | |
Dr. Kassie Jean Young, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2911 Crossing Ct Suite 101, Champaign, IL 61822 Phone: 217-359-0550 Fax: 217-359-0808 | |
Daniel John Vanklingeren, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1103 W Windsor Rd, Champaign, IL 61821 Phone: 217-954-0124 Fax: 217-954-0135 |