Jared Scott Bedor, DC | |
623 Wallace St Apt 6, New London, WI 54961-2181 | |
(920) 850-2507 | |
Not Available |
Full Name | Jared Scott Bedor |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 8 Years |
Location | 623 Wallace St Apt 6, New London, 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 |
---|---|---|---|
1962940635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5233-12 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri County Chiropractic Sc | 8628005071 | 2 |
Provider Name | Tri County Chiropractic Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225148133 PECOS PAC ID: 8628005071 Enrollment ID: O20170718002944 |
Mailing Address | Practice Location Address |
---|---|
Jared Scott Bedor, DC 623 Wallace St Apt 6, New London, WI 54961-2181 Ph: (920) 850-2507 | Jared Scott Bedor, DC 623 Wallace St Apt 6, New London, WI 54961-2181 Ph: (920) 850-2507 |
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