Mac Kozaczuk, DC | |
S71w23325 National Ave Ste 5, Big Bend, WI 53103-9495 | |
(262) 662-9775 | |
(262) 662-9773 |
Full Name | Mac Kozaczuk |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | S71w23325 National Ave Ste 5, Big Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306608294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6159-12 (Wisconsin) | Primary |
Provider Name | Catalyst Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669881058 PECOS PAC ID: 8527384759 Enrollment ID: O20150306000920 |
Mailing Address | Practice Location Address |
---|---|
Mac Kozaczuk, DC S71w23325 National Ave Ste 5, Big Bend, WI 53103-9495 Ph: (262) 662-9775 | Mac Kozaczuk, DC S71w23325 National Ave Ste 5, Big Bend, WI 53103-9495 Ph: (262) 662-9775 |
Dr. Sean Cedric Halpin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: W236 S7050 Hwy164, Ste. 4, Big Bend, WI 53103 Phone: 262-662-9820 Fax: 262-662-9821 | |
Travis Walters, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: S71w23325 National Ave, Suite 5, Big Bend, WI 53103 Phone: 262-662-9775 Fax: 262-662-9773 | |
Adam J Brown, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: S71w23325 National Ave Ste 5, Big Bend, WI 53103 Phone: 262-662-9775 | |
Tina Elizabeth Cox, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: S71w23325 National Ave, Suite 5, Big Bend, WI 53103 Phone: 262-662-9775 Fax: 262-662-9773 | |
Dr. Jacob Flegner, DC Chiropractor Medicare: Medicare Enrolled Practice Location: S71w23325 National Ave Ste 5, Big Bend, WI 53103 Phone: 262-662-9775 | |
Catalyst Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: S71w23325 National Ave Ste 5, Big Bend, WI 53103 Phone: 262-662-9775 Fax: 262-662-9773 |