Roderick M Heasty, DC | |
3252 Kimball Ave, Manhattan, KS 66503-2157 | |
(785) 320-6868 | |
Not Available |
Full Name | Roderick M Heasty |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 12 Years |
Location | 3252 Kimball Ave, Manhattan, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790026409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 01-05525 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holmberg Wellness Group, Llc | 2668506262 | 3 |
Provider Name | Holmberg Wellness Group, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891027157 PECOS PAC ID: 2668506262 Enrollment ID: O20100818000706 |
Mailing Address | Practice Location Address |
---|---|
Roderick M Heasty, DC 3252 Kimball Ave, Manhattan, KS 66503-2157 Ph: (785) 320-6868 | Roderick M Heasty, DC 3252 Kimball Ave, Manhattan, KS 66503-2157 Ph: (785) 320-6868 |
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