| Dr Tyler James Panko, DC | |
|
7829 E Rockhill St Ste 303, Wichita, KS 67206-3914 | |
| (402) 870-0659 | |
| Not Available |
| Full Name | Dr Tyler James Panko |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 5 Years |
| Location | 7829 E Rockhill St Ste 303, Wichita, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457992448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 01-06000 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ict Muscle And Joint Clinic Llc | 1557654670 | 3 |
| Provider Name | Ict Muscle & Joint Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417312075 PECOS PAC ID: 1557654670 Enrollment ID: O20160727002103 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler James Panko, DC 7829 E Rockhill St Ste 303, Wichita, KS 67206-3914 Ph: (402) 870-0659 | Dr Tyler James Panko, DC 7829 E Rockhill St Ste 303, Wichita, KS 67206-3914 Ph: (402) 870-0659 |
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