Shane Ray Acey, DC | |
1382 Ymca Dr, Festus, MO 63028-2662 | |
(636) 937-7771 | |
(636) 937-7775 |
Full Name | Shane Ray Acey |
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Gender | Male |
Speciality | Chiropractor |
Location | 1382 Ymca Dr, Festus, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003519455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHR.0008623 (Colorado) | Secondary |
111N00000X | Chiropractor | 2023015283 (Missouri) | Primary |
Provider Name | Dynamic Chiropractic And Rehab Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255014304 PECOS PAC ID: 6608238076 Enrollment ID: O20230816003837 |
Mailing Address | Practice Location Address |
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Shane Ray Acey, DC 1382 Ymca Dr, Festus, MO 63028-2662 Ph: (636) 937-7771 | Shane Ray Acey, DC 1382 Ymca Dr, Festus, MO 63028-2662 Ph: (636) 937-7771 |
Barding Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1520 Parkway W, Festus, MO 63028 Phone: 636-937-0100 | |
Arbavada Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 1552 Natchez Dr, Festus, MO 63028 Phone: 636-937-7771 Fax: 636-937-7775 | |
Dr. Tjode M Mickelson, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 Borga Building, Festus, MO 63028 Phone: 636-937-3207 Fax: 636-937-5307 | |
Proactive Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 1520 Parkway W, Festus, MO 63028 Phone: 636-937-0100 | |
Dr. Mathew Pilgrim, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 620 Collins Dr, Festus, MO 63028 Phone: 636-937-9200 Fax: 636-937-0900 | |
Alexandria Nicole Hovis, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12642 Victoria Hts, Festus, MO 63028 Phone: 636-232-4152 |