| Koch Chiropractic And Wellness Center | |
|
1990 Godfrey Dr, Waupaca, WI 54981-7908 | |
| (715) 256-9616 | |
| (715) 256-9618 |
| Full Name | Koch Chiropractic And Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1990 Godfrey Dr, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659484574 | NPI | - | NPPES |
| 38902900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3449-12 (Wisconsin) | Primary |
| Provider Name | Gina M Koch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053366203 PECOS PAC ID: 6608761838 Enrollment ID: I20040217000978 |
| Provider Name | Holly A King |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255467213 PECOS PAC ID: 7012989478 Enrollment ID: I20210406002071 |
| Provider Name | Andrea Benko |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174767768 PECOS PAC ID: 4789813007 Enrollment ID: I20220924000272 |
| Provider Name | Maggie A Bezanson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407622301 PECOS PAC ID: 4789029844 Enrollment ID: I20240228001994 |
| Provider Name | Trevor Lee Chalfant |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336538859 PECOS PAC ID: 7911224084 Enrollment ID: I20240228002457 |
| Mailing Address | Practice Location Address |
|---|---|
| Koch Chiropractic And Wellness Center 1990 Godfrey Dr, Waupaca, WI 54981-7908 Ph: (715) 256-9616 | Koch Chiropractic And Wellness Center 1990 Godfrey Dr, Waupaca, WI 54981-7908 Ph: (715) 256-9616 |
Dr. Gina M. Koch, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1990 Godfrey Dr, Waupaca, WI 54981 Phone: 715-256-9616 Fax: 715-256-9618 | |
Waupaca Chiropractic Center, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 304 S Western Ave, Waupaca, WI 54981 Phone: 715-258-8211 | |
Roots Wholistic Health Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 717 Churchill St., Waupaca, WI 54981 Phone: 715-258-7001 Fax: 715-258-7048 | |
Dr. Miriam Joy Leean-rodenz, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 304 S Western Ave, Waupaca, WI 54981 Phone: 715-258-8211 Fax: 715-258-0118 | |
Mr. Scott R Bailey, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: E1557 Grandview Rd, Waupaca, WI 54981 Phone: 715-256-0429 | |
Waupaca Chiropractic Center, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 700 Hillcrest Dr, Waupaca, WI 54981 Phone: 715-258-8211 Fax: 715-258-0118 |