| Jacob David Madock, DC | |
|
9093 Ridgefield Dr Ste 107, Frederick, MD 21701-6711 | |
| (301) 620-8566 | |
| (301) 620-8568 |
| Full Name | Jacob David Madock |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 9093 Ridgefield Dr Ste 107, Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427767607 | NPI | - | NPPES |
| S04154 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | S04154 (Maryland) | Primary |
| Provider Name | Spring Ridge Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376580621 PECOS PAC ID: 9436307501 Enrollment ID: O20120914000012 |
| Provider Name | Spring Ridge Chiropractic Of Boonsboro Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083346159 PECOS PAC ID: 8426433517 Enrollment ID: O20220909000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob David Madock, DC 9093 Ridgefield Dr Ste 107, Frederick, MD 21701-6711 Ph: (301) 620-8566 | Jacob David Madock, DC 9093 Ridgefield Dr Ste 107, Frederick, MD 21701-6711 Ph: (301) 620-8566 |
Daniel Hayes, D.c., P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 604 Solarex Ct, Suite 101, Frederick, MD 21703 Phone: 301-620-1008 | |
Dr. Deborah Morrone, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 5301 Buckeystown Pike Ste 210, Frederick, MD 21704 Phone: 301-695-0032 | |
Dennis R Travagline, CH Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4 S Mccain Dr, Unit 8, Frederick, MD 21703 Phone: 301-624-0024 Fax: 301-624-0026 | |
Wafo Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 915 Toll House Ave Ste 205, Frederick, MD 21701 Phone: 508-627-2342 | |
Frederick Chiropractic Wellness Center, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 5301 Buckeystown Pike Ste 210, Frederick, MD 21704 Phone: 301-695-0032 | |
Park Bench Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1780 N Market St, Ste B, Frederick, MD 21701 Phone: 301-378-0334 Fax: 301-378-0238 | |
Dr. Roger A Smith, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 286 Montevue Ln, Frederick, MD 21702 Phone: 301-662-4220 Fax: 301-662-8195 |