| Kelley Chiropractic Center | |
|
1503 Larson St, Bloomer, WI 54724-1632 | |
| (715) 568-4220 | |
| (715) 568-4201 |
| Full Name | Kelley Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 1503 Larson St, Bloomer, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548305022 | NPI | - | NPPES |
| 38796100 | Medicaid | WI | |
| 392035966010 | Other | WI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 2014-012 (Wisconsin) | Primary |
| Provider Name | Brian S Kelley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811994205 PECOS PAC ID: 1254347214 Enrollment ID: I20060228000802 |
| Provider Name | Jodi M Swartz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275693939 PECOS PAC ID: 7719995521 Enrollment ID: I20060405000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Chiropractic Center 1503 Larson St, Bloomer, WI 54724-1632 Ph: (715) 568-4220 | Kelley Chiropractic Center 1503 Larson St, Bloomer, WI 54724-1632 Ph: (715) 568-4220 |
Dr. Ronald Daniel Peterson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 10135 Hwy Ss, Bloomer, WI 54724 Phone: 715-568-1251 Fax: 715-568-1252 | |
Abrahm Skaw, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1731 17th Ave, Bloomer, WI 54724 Phone: 715-568-4669 | |
Flynn Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1518 Main St, Bloomer, WI 54724 Phone: 715-568-1600 Fax: 715-568-1604 | |
Bloomer Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1217 14th Ave, Bloomer, WI 54724 Phone: 715-568-3310 | |
Dr. Timothy John Peterson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 10135 Hwy Ss, Bloomer, WI 54724 Phone: 715-568-1251 Fax: 715-568-1252 | |
Bloomer Chiropractic Office, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1217 14th Ave, Suite B, Bloomer, WI 54724 Phone: 715-568-4771 Fax: 715-568-4773 |