Kolten Pedigo, DC | |
1616 W Main St Ste 503, Marion, IL 62959-1146 | |
(618) 772-2999 | |
Not Available |
Full Name | Kolten Pedigo |
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Gender | Male |
Speciality | Chiropractor |
Location | 1616 W Main St Ste 503, Marion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568001907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038.013487 (Illinois) | Primary |
Provider Name | Southern Spine & Rehab, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083254734 PECOS PAC ID: 0648644807 Enrollment ID: O20230330000408 |
Mailing Address | Practice Location Address |
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Kolten Pedigo, DC 1616 W Main St Ste 503, Marion, IL 62959-1146 Ph: () - | Kolten Pedigo, DC 1616 W Main St Ste 503, Marion, IL 62959-1146 Ph: (618) 772-2999 |
Dynamic Health Chiropractic, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8184 Rt 37, Suite B, Marion, IL 62959 Phone: 618-969-2142 Fax: 618-551-7160 | |
Dr. Michael Douglas Bradley, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2306 W Main St, Marion, IL 62959 Phone: 618-997-5959 Fax: 618-993-3161 | |
Dr. Theodore F Oslay, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 700 N Carbon St, Suite B, Marion, IL 62959 Phone: 618-440-4990 | |
Emily Dickman, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1616 W Main St Ste 200, Marion, IL 62959 Phone: 618-694-9797 | |
Dr. Gary Scott Karnes, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1716 W Main St, Marion, IL 62959 Phone: 618-997-2112 Fax: 618-997-2112 | |
Dr. Martie Jo Blue, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 302 S Market St Ste B, Marion, IL 62959 Phone: 618-964-6976 Fax: 888-793-3309 | |
Dr. Mercedes Robinson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 8184 Rt 37, Suite B, Marion, IL 62959 Phone: 618-969-2142 |