| Mount Vernon Chiropractic, Inc., P.s. | |
|
1600 Roosevelt Ave, Suite A, Mount Vernon, WA 98273-2646 | |
| (360) 428-0304 | |
| (360) 428-0968 |
| Full Name | Mount Vernon Chiropractic, Inc., P.s. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1600 Roosevelt Ave, Mount Vernon, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932396652 | NPI | - | NPPES |
| 49111 | Other | WA | LABOR AND INDUSTRIES |
| 304854304854 | Other | WA | PREMERA BLUE CROSS |
| 8592FO | Other | WA | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH00002227 (Washington) | Primary |
| 111N00000X | Chiropractor | CH00034784 (Washington) | Secondary |
| Provider Name | Peter J Fochesato |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780758466 PECOS PAC ID: 2668424508 Enrollment ID: I20050304000180 |
| Provider Name | Scott A Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407269251 PECOS PAC ID: 6305167818 Enrollment ID: I20150610000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Vernon Chiropractic, Inc., P.s. 1600 Roosevelt Ave, Suite A, Mount Vernon, WA 98273-2646 Ph: (360) 428-0304 | Mount Vernon Chiropractic, Inc., P.s. 1600 Roosevelt Ave, Suite A, Mount Vernon, WA 98273-2646 Ph: (360) 428-0304 |
Natural Way Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1825 Riverside Dr Suite A, Mount Vernon, WA 98273 Phone: 360-671-1710 Fax: 360-671-1605 | |
Mr. James G Caviezel, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 E Division, Mount Vernon, WA 98274 Phone: 360-336-6547 Fax: 360-336-1503 | |
Country Chiropractic Clinic, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 22790 Buchanan St, Mount Vernon, WA 98273 Phone: 360-856-5562 Fax: 360-856-4923 | |
Avery Nicholas Martin, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 22790 Buchanan Street, Mount Vernon, WA 98273 Phone: 360-856-5562 Fax: 360-856-4923 | |
Dr. Cheryl Lynn Schmitt, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 600 N 4th Street, Mount Vernon, WA 98273 Phone: 360-848-6755 Fax: 360-989-3997 | |
Southard Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 113 S 11th St, Mount Vernon, WA 98274 Phone: 360-488-2123 Fax: 360-404-3906 | |
Ronald W Burden, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 E Division, Mount Vernon, WA 98274 Phone: 360-336-6547 Fax: 360-336-1503 |