| Overlea-fullerton Chiropractic Center Pc | |
|
5317 Village Market Drive, Wesley Chapel, FL 33544 | |
| (813) 994-6008 | |
| (813) 994-3063 |
| Full Name | Overlea-fullerton Chiropractic Center Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5317 Village Market Drive, Wesley Chapel, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780801761 | NPI | - | NPPES |
| 271773 | Other | FL | WELLCARE PRVD# |
| 89273 | Other | FL | BCBS PRVD# |
| 295986 | Other | FL | AVMED PRVD# |
| 593466707 | Other | FL | CHIRO ALLIANCE # |
| CH006174 | Other | FL | STATE LICENSE # |
| 381806300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH006174 (Florida) | Primary |
| Provider Name | Brian M Augustine |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508935099 PECOS PAC ID: 6103885595 Enrollment ID: I20041013000864 |
| Provider Name | Bruce D Horchak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467411686 PECOS PAC ID: 8820135734 Enrollment ID: I20091027000075 |
| Provider Name | Jameson Leroy Nickels |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659051381 PECOS PAC ID: 4688038037 Enrollment ID: I20230919000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Overlea-fullerton Chiropractic Center Pc 5317 Village Market Drive, Wesley Chapel, FL 33544 Ph: (813) 994-6008 | Overlea-fullerton Chiropractic Center Pc 5317 Village Market Drive, Wesley Chapel, FL 33544 Ph: (813) 994-6008 |
Eden Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 29141 Chapel Park Dr, Wesley Chapel, FL 33543 Phone: 347-671-5161 | |
Dr. Aliya Redwood, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27210 Foamflower Blvd, Wesley Chapel, FL 33544 Phone: 813-973-2261 | |
Collin Dobnikar, Chiropractor Medicare: Medicare Enrolled Practice Location: 2252 Twelve Oaks Way Ste 101, Wesley Chapel, FL 33544 Phone: 330-617-6863 | |
Thomas W. Myers Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27732 Cashford Cir, Suite 101, Wesley Chapel, FL 33544 Phone: 813-973-8883 | |
Dr. Abigail Farrar, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 29141 Chapel Park Dr, Wesley Chapel, FL 33543 Phone: 239-823-8121 | |
Dr. Esperansa Nino, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 27454 Cashford Cir, Wesley Chapel, FL 33544 Phone: 813-973-4747 | |
Magdalena Kortis, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2252 Twelve Oaks Way Ste 101, Wesley Chapel, FL 33544 Phone: 330-617-6863 |