Nicole Willis, DC | |
1570 E Heritage Park St, Ste 175, Meridian, ID 83646-6445 | |
(208) 322-4114 | |
(208) 322-4115 |
Full Name | Nicole Willis |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 17 Years |
Location | 1570 E Heritage Park St, Meridian, Idaho |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093992539 | NPI | - | NPPES |
1370103 | Other | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-1268 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Willis Family Chiropractic, Llc | 3678641719 | 2 |
Provider Name | Willis Family Chiropractic, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114191137 PECOS PAC ID: 3678641719 Enrollment ID: O20081009000348 |
Mailing Address | Practice Location Address |
---|---|
Nicole Willis, DC 1570 E Heritage Park St, Ste 175, Meridian, ID 83646-6445 Ph: (208) 322-4114 | Nicole Willis, DC 1570 E Heritage Park St, Ste 175, Meridian, ID 83646-6445 Ph: (208) 322-4114 |
Todd Steven Pickman, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3085 E Magic View Dr. Suite 180, Meridian, ID 83642 Phone: 208-888-6077 Fax: 888-447-1415 | |
Alejandra Amarilis Irizarry, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14 W Franklin Rd, Meridian, ID 83642 Phone: 208-906-1564 Fax: 208-906-1464 | |
Dr. Taylor Keller, B.S., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5956 N Linder Rd., Suite 120, Meridian, ID 83646 Phone: 815-977-1931 | |
Brian Wayne Stutzman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1580 W 4th St Ste 103, Meridian, ID 83642 Phone: 208-888-9292 Fax: 208-888-3231 | |
Back 2 Life Medical Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2016 S Eagle Rd, Meridian, ID 83642 Phone: 208-887-6810 Fax: 208-887-6797 | |
Dr. Travis R Cunningham, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3715 E Overland Rd, Suite 105, Meridian, ID 83642 Phone: 208-888-0055 Fax: 208-888-5062 | |
Chad C Willis, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1565 E Leighfield Dr Ste 150, Meridian, ID 83646 Phone: 208-855-0585 |