| Family Chiropractic Of Warren Inc | |
|
603 N Main Street, Warren, MN 56762 | |
| (218) 745-6655 | |
| (218) 745-4049 |
| Full Name | Family Chiropractic Of Warren Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 603 N Main Street, Warren, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598875171 | NPI | - | NPPES |
| 20215 | Other | ND | BCBS |
| 15F41PE | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3351 (Minnesota) | Primary |
| Provider Name | Mark A Pederson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215045604 PECOS PAC ID: 6901849066 Enrollment ID: I20050609000213 |
| Provider Name | Bailey Jo Marcotte |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285333476 PECOS PAC ID: 3678932522 Enrollment ID: I20230710003357 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Chiropractic Of Warren Inc 603 N Main Street, Warren, MN 56762 Ph: (218) 745-6655 | Family Chiropractic Of Warren Inc 603 N Main Street, Warren, MN 56762 Ph: (218) 745-6655 |
Dr. Mark Alan Pederson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 603 N Main Street, Warren, MN 56762 Phone: 218-745-6655 Fax: 218-745-4049 | |
Dr. Bailey Jo Marcotte, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 603 N Main St, Warren, MN 56762 Phone: 218-745-6655 Fax: 218-745-4049 |