| Sage Clinic | |
|
2002 Sproul Rd, Suite 204, Broomall, PA 19008-3510 | |
| (610) 325-6037 | |
| (610) 325-6039 |
| Full Name | Sage Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2002 Sproul Rd, Broomall, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518158013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC-009493 (Pennsylvania) | Primary |
| Provider Name | Victor A Sage |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932201563 PECOS PAC ID: 4688679285 Enrollment ID: I20110817000794 |
| Provider Name | Nikolao Mikaele Savaiinaea |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811695844 PECOS PAC ID: 0749646792 Enrollment ID: I20230517000024 |
| Provider Name | Brandon Tyler Boon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104689835 PECOS PAC ID: 6406292986 Enrollment ID: I20240306003149 |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Clinic 2002 Sproul Rd, Suite 204, Broomall, PA 19008-3510 Ph: (610) 325-6037 | Sage Clinic 2002 Sproul Rd, Suite 204, Broomall, PA 19008-3510 Ph: (610) 325-6037 |
Dr. Jeffrey Scott Diamond, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 19 Cheshire Cir, Broomall, PA 19008 Phone: 215-921-1194 | |
Kelli Lebaron, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2920 Springfield Rd, Broomall, PA 19008 Phone: 610-356-2341 Fax: 610-356-3763 | |
Ralph Anthony Carrozza, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 200 Lawrence Road, Broomall, PA 19008 Phone: 610-356-2229 Fax: 610-356-2251 | |
Marc J Belitsky, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2633 W Chester Pike, Broomall, PA 19008 Phone: 610-353-2220 Fax: 610-353-7062 | |
Tancredi Chiropractic & Rehabilitation Center P C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 600 Reed Rd, Broomall, PA 19008 Phone: 610-353-9400 Fax: 610-353-2280 | |
Woo Yong Lee, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2002 Sproul Rd, Suite 204, Broomall, PA 19008 Phone: 610-353-7900 Fax: 610-353-1653 |