| Mike Mason Chiropractic Pllc | |
|
529 E. Main St, Bridgeport, WV 26330 | |
| (304) 842-4202 | |
| (304) 842-6480 |
| Full Name | Mike Mason Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 529 E. Main St, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255388971 | NPI | - | NPPES |
| 001713619 | Other | WV | MTN STATE BCBS PAY-TO |
| PENDING | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael W Mason |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891732962 PECOS PAC ID: 9335150580 Enrollment ID: I20060605000002 |
| Provider Name | Terri Keyes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346562089 PECOS PAC ID: 9931235686 Enrollment ID: I20100405000165 |
| Provider Name | Susan A Dipetta |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184942807 PECOS PAC ID: 5294923074 Enrollment ID: I20101221000250 |
| Provider Name | Craig P Kelley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508188822 PECOS PAC ID: 8325209620 Enrollment ID: I20120413000100 |
| Provider Name | Holly Ann Garrison |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285907212 PECOS PAC ID: 7315109345 Enrollment ID: I20120508000560 |
| Provider Name | Michael K Hart |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497143655 PECOS PAC ID: 4587972641 Enrollment ID: I20151009000817 |
| Provider Name | Chad M Porter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477082048 PECOS PAC ID: 7517239320 Enrollment ID: I20170814002457 |
| Provider Name | Derrick Bramer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700476215 PECOS PAC ID: 2860801065 Enrollment ID: I20210428003084 |
| Provider Name | Gregory Crickard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770211716 PECOS PAC ID: 6709261480 Enrollment ID: I20220915003367 |
| Provider Name | Kelsey C Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013793843 PECOS PAC ID: 0244687192 Enrollment ID: I20231114002554 |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Mason Chiropractic Pllc 529 E. Main St, Bridgeport, WV 26330 Ph: (304) 842-4202 | Mike Mason Chiropractic Pllc 529 E. Main St, Bridgeport, WV 26330 Ph: (304) 842-4202 |
Dr. Kelsey Chae Martin, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 529 E Main St, Bridgeport, WV 26330 Phone: 304-842-4202 | |
Dr. Rachael L Bryant, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109b Doctors Dr, Bridgeport, WV 26330 Phone: 304-842-4202 Fax: 304-842-6480 | |
Dr. Wesley S Pepper, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109b Doctors Dr, Bridgeport, WV 26330 Phone: 304-842-4202 Fax: 304-842-6480 | |
Susan Dipetta, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 529 E Main St, Bridgeport, WV 26330 Phone: 304-376-9792 | |
Dr. James W Leonette, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 Professional Pl, Bridgeport, WV 26330 Phone: 304-933-9355 Fax: 304-278-3348 | |
Dr. Steven Todd Show, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 Professional Pl, Bridgeport, WV 26330 Phone: 304-933-9355 |