Garrett Gene Wallace, DC | |
2515 Crosby Ave, Klamath Falls, OR 97603-4553 | |
(541) 883-2225 | |
(541) 882-9388 |
Full Name | Garrett Gene Wallace |
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Gender | Male |
Speciality | Chiropractor |
Location | 2515 Crosby Ave, Klamath Falls, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588325260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH13851 (Florida) | Secondary |
111N00000X | Chiropractor | PENDING (Oregon) | Secondary |
111N00000X | Chiropractor | 6236 (Oregon) | Primary |
Provider Name | Pine Tree Chiropractic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861677783 PECOS PAC ID: 3971597006 Enrollment ID: O20040412001620 |
Mailing Address | Practice Location Address |
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Garrett Gene Wallace, DC 2515 Crosby Ave, Klamath Falls, OR 97603-4553 Ph: (541) 883-2225 | Garrett Gene Wallace, DC 2515 Crosby Ave, Klamath Falls, OR 97603-4553 Ph: (541) 883-2225 |
Klamath Chiropractic Physicians Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2199 Crest St, Klamath Falls, OR 97603 Phone: 541-882-6512 Fax: 541-884-3044 | |
Dr. Jane Leyla Bigby, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 830 Klamath Ave, Klamath Falls, OR 97601 Phone: 541-887-8555 Fax: 541-887-8556 | |
Innate Wellness, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 501 Main St Ste 310, Klamath Falls, OR 97601 Phone: 541-887-8170 Fax: 541-887-8180 | |
Parker B. Mah Chiropractic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3150 S 6th St, Klamath Falls, OR 97603 Phone: 541-273-5433 Fax: 541-850-2461 | |
James M Yewchuk Chiropractic Professional Corporation Chiropractor Medicare: Medicare Enrolled Practice Location: 3150 S 6th St, Klamath Falls, OR 97603 Phone: 541-273-5433 Fax: 541-850-2461 | |
Cascade Chiropractic & Rehabilitation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 928 Klamath Ave, Klamath Falls, OR 97601 Phone: 541-273-7210 Fax: 541-273-7313 | |
Dr. Brandon John Snowdy, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2950 Shasta Way, Klamath Falls, OR 97603 Phone: 541-273-5433 |