| Jerry M Payne D.c., Inc | |
|
1217 E 1st St, Port Angeles, WA 98362-4301 | |
| (360) 452-3017 | |
| (360) 452-4100 |
| Full Name | Jerry M Payne D.c., Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1217 E 1st St, Port Angeles, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396929006 | NPI | - | NPPES |
| G8851005 | Other | WA | MEDICARE GROUP PIN |
| PA4216 | Other | WA | REGENCE BLUE SHIELD |
| 2022861 | Medicaid | WA | |
| 0124952 | Other | WA | DEPT OF LABOR & INDUSTRIE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH00003603 (Washington) | Primary |
| Provider Name | Jerry M Payne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114913613 PECOS PAC ID: 1153382957 Enrollment ID: I20041025000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry M Payne D.c., Inc 1217 E 1st St, Port Angeles, WA 98362-4301 Ph: (360) 452-3017 | Jerry M Payne D.c., Inc 1217 E 1st St, Port Angeles, WA 98362-4301 Ph: (360) 452-3017 |
Weider Chiropractic Clinic,p.s. Chiropractor Medicare: Medicare Enrolled Practice Location: 603 E 8th St, #d, Port Angeles, WA 98362 Phone: 360-452-2934 | |
Dr. Jerry M Payne, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1217 E 1st St, Port Angeles, WA 98362 Phone: 360-452-3017 Fax: 360-452-4100 | |
Dr. Shawn K Hankins, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 430 E Lauridsen Blvd, Port Angeles, WA 98362 Phone: 360-457-7576 | |
Dr. Ryan Michael Stamper, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 106 W Lauridsen Blvd, Port Angeles, WA 98362 Phone: 360-452-7827 Fax: 360-452-5379 | |
Dr. George N Lawrence, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 934 Caroline St, Port Angeles, WA 98362 Phone: 360-417-1600 Fax: 360-452-4411 | |
Halberg Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 430 E Lauridsen Blvd, Suite 113, Port Angeles, WA 98362 Phone: 360-457-7576 Fax: 360-452-8079 | |
Dr. Raymond Theodore Hanson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 603 E 8th St, Port Angeles, WA 98362 Phone: 360-452-2934 Fax: 360-452-7468 |