Mark J. Pensis Chiropractic, S.c. | |
275 S Main St, Clintonville, WI 54929-1604 | |
(715) 823-2912 | |
Not Available |
Full Name | Mark J. Pensis Chiropractic, S.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 275 S Main St, Clintonville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558429613 | NPI | - | NPPES |
391524586016 | Other | WI | BLUE CROSS |
38833800 | Medicaid | WI | |
6264 | Other | WI | NETWORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2292-012 (Wisconsin) | Primary |
Provider Name | Mark J Pensis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720085632 PECOS PAC ID: 9931282019 Enrollment ID: I20080213000025 |
Provider Name | Michael Ryan Fetter |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518612837 PECOS PAC ID: 2466846993 Enrollment ID: I20220228001356 |
Mailing Address | Practice Location Address |
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Mark J. Pensis Chiropractic, S.c. Po Box 266, Clintonville, WI 54929-0266 Ph: (715) 823-2912 | Mark J. Pensis Chiropractic, S.c. 275 S Main St, Clintonville, WI 54929-1604 Ph: (715) 823-2912 |
Clintonville Chiropractic,inc. Chiropractor Medicare: Medicare Enrolled Practice Location: E9180 Golf Club Rd, Clintonville, WI 54929 Phone: 715-823-2121 Fax: 715-823-5969 | |
Dr. Chris Todd Krueger, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: E9180 Golf Club Rd, Clintonville, WI 54929 Phone: 715-823-2121 Fax: 715-823-5969 | |
Dr. Mark Joseph Pensis, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 275 S Main St, Clintonville, WI 54929 Phone: 715-823-2912 Fax: 715-823-1331 | |
Fetter Chiropractic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 275 S Main St, Clintonville, WI 54929 Phone: 715-853-1643 |