Mrs Staci Lynn Bracken, DC | |
461 Kingsley Ave, Orange Park, FL 32073-4827 | |
(904) 213-9805 | |
(904) 213-9806 |
Full Name | Mrs Staci Lynn Bracken |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 22 Years |
Location | 461 Kingsley Ave, Orange Park, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346459021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH8596 (Florida) | Primary |
Provider Name | Bracken Family Chiropractic Center Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518169309 PECOS PAC ID: 3577658723 Enrollment ID: O20071002000860 |
Mailing Address | Practice Location Address |
---|---|
Mrs Staci Lynn Bracken, DC 155 Blanding Blvd Ste 8, Orange Park, FL 32073-2624 Ph: (904) 213-9805 | Mrs Staci Lynn Bracken, DC 461 Kingsley Ave, Orange Park, FL 32073-4827 Ph: (904) 213-9805 |
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Kelvin Lamont Bolar, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1218 Park Ave, Orange Park, FL 32073 Phone: 904-269-2437 Fax: 904-264-2330 | |
Fleming Island Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 1835 East West Parkway, Suite 3, Orange Park, FL 32003 Phone: 904-264-3770 Fax: 904-264-5885 | |
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