| 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 | |
Tyler Womble, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501 Highway 52 Byp W, Lafayette, TN 37083 Phone: 615-622-7942 | |
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 |