John Tysdal, DC | |
501 Highway 52 Byp W, Lafayette, TN 37083-2636 | |
(636) 208-8163 | |
Not Available |
Full Name | John Tysdal |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 3 Years |
Location | 501 Highway 52 Byp W, Lafayette, Tennessee |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760147508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3503 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spine Stop Lafayette, Pllc | 8022423706 | 2 |
Provider Name | Spine Stop Lafayette, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194315846 PECOS PAC ID: 8022423706 Enrollment ID: O20210210000334 |
Mailing Address | Practice Location Address |
---|---|
John Tysdal, DC 352 Old Gallatin Rd, Scottsville, KY 42164-8666 Ph: (270) 237-3304 | John Tysdal, DC 501 Highway 52 Byp W, Lafayette, TN 37083-2636 Ph: (636) 208-8163 |
Spine Stop Lafayette, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 501 Highway 52 Byp W, Lafayette, TN 37083 Phone: 270-237-3304 | |
Kevin James Gocha, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 307 Church St, Lafayette, TN 37083 Phone: 615-666-2106 Fax: 615-666-7909 | |
Roger D. Ellis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1508 Scottsville Rd, Lafayette, TN 37083 Phone: 501-749-6205 | |
Dr. Brad James Hagan, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 429 Highway 52 Byp W, Lafayette, TN 37083 Phone: 615-688-2225 Fax: 615-688-4249 |