| Great Lakes Family Chiropractic Center,pc | |
|
1009 E 38th St, Erie, PA 16504-1843 | |
| (814) 824-6442 | |
| (814) 824-4007 |
| Full Name | Great Lakes Family Chiropractic Center,pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1009 E 38th St, Erie, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407024144 | NPI | - | NPPES |
| 1394234 | Other | PA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC005135L (Pennsylvania) | Primary |
| Provider Name | Richard E Hulse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184782559 PECOS PAC ID: 2062584279 Enrollment ID: I20080703000356 |
| Provider Name | Ashlyn E Hulse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952903932 PECOS PAC ID: 6305258955 Enrollment ID: I20201223002109 |
| Provider Name | Victoria A Hulse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326613233 PECOS PAC ID: 6709289382 Enrollment ID: I20210720001148 |
| Provider Name | Adam J Renshaw |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578138400 PECOS PAC ID: 2567865140 Enrollment ID: I20210720001336 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Family Chiropractic Center,pc 1009 E 38th St, Erie, PA 16504-1843 Ph: (814) 824-6442 | Great Lakes Family Chiropractic Center,pc 1009 E 38th St, Erie, PA 16504-1843 Ph: (814) 824-6442 |
Dr. Tammy Kay Cassa, D.C., CME Chiropractor Medicare: Medicare Enrolled Practice Location: 4510 Peach St, Erie, PA 16509 Phone: 814-923-6024 | |
State Street Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3308 State St, Erie, PA 16508 Phone: 814-453-3150 Fax: 814-453-3150 | |
Dr. Jason Ryan Cardinali, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3823 W 12th St, Ste A, Erie, PA 16505 Phone: 814-836-4663 | |
Healthways Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4125 W Ridge Rd, Erie, PA 16506 Phone: 814-833-9355 Fax: 814-833-9355 | |
Dr. Vincent Lee Bayer, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1359 W 6th St, Erie, PA 16505 Phone: 814-480-8180 Fax: 814-480-8182 | |
Dr. Sherilee A Walker, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1334 W 26th St, Erie, PA 16508 Phone: 814-864-9775 | |
Dr. Timothy Gregory Good, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3813 Dexter Ave, Erie, PA 16504 Phone: 814-825-4805 Fax: 814-825-3144 |