Scott J Wagenknecht, DC | |
8405 W Forest Home Ave, Ste 101, Greenfield, WI 53228-3407 | |
(414) 423-9225 | |
(414) 421-7516 |
Full Name | Scott J Wagenknecht |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 25 Years |
Location | 8405 W Forest Home Ave, Greenfield, Wisconsin |
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 |
---|---|---|---|
1952393910 | NPI | - | NPPES |
38925100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3592 012 (Wisconsin) | Primary |
Provider Name | Scott J. Wagenknecht, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568644060 PECOS PAC ID: 5799865572 Enrollment ID: O20080107000257 |
Mailing Address | Practice Location Address |
---|---|
Scott J Wagenknecht, DC 8405 W Forest Home Ave, Ste 101, Greenfield, WI 53228-3407 Ph: (414) 423-9225 | Scott J Wagenknecht, DC 8405 W Forest Home Ave, Ste 101, Greenfield, WI 53228-3407 Ph: (414) 423-9225 |
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