Jacob Jon Desantis, | |
1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 | |
(715) 234-3067 | |
Not Available |
Full Name | Jacob Jon Desantis |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 6 Years |
Location | 1801 W Knapp St Ste 1, Rice Lake, Wisconsin |
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 |
---|---|---|---|
1952878415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5417 (Wisconsin) | Primary |
Provider Name | Wild Rivers Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649831132 PECOS PAC ID: 9032447297 Enrollment ID: O20190826002755 |
Mailing Address | Practice Location Address |
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Jacob Jon Desantis, 1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 Ph: (715) 205-5564 | Jacob Jon Desantis, 1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 Ph: (715) 234-3067 |
Tanner Ardell Kleppe, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1207 W Knapp St, Rice Lake, WI 54868 Phone: 715-475-1700 | |
Dr. Michael David Sommerfeld, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 6 W Saint Patrick St, Rice Lake, WI 54868 Phone: 715-234-4222 Fax: 715-736-0751 | |
Steven R Owens, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3011 S Main St Ste 2, Rice Lake, WI 54868 Phone: 715-234-6338 | |
Dr. David A Sommerfeld, D. C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 6 W Saint Patrick St, Rice Lake, WI 54868 Phone: 715-234-4222 Fax: 715-736-0751 | |
Dr. Steven Donald Crotteau, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12 W Marshall St, Suite #110, Rice Lake, WI 54868 Phone: 715-234-3808 Fax: 715-234-3809 | |
Zachary Alan Cole, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 225 S Main St, Rice Lake, WI 54868 Phone: 715-234-9876 | |
Crotteau Chiropractic, L.l.c Chiropractor Medicare: Medicare Enrolled Practice Location: 12 W Marshall St, Suite #110, Rice Lake, WI 54868 Phone: 715-234-3808 Fax: 715-234-3809 |