| Terrance R Waggoner, Dc Pc | |
|
8015 W Us Highway 20, Shipshewana, IN 46565-9482 | |
| (260) 768-4333 | |
| (260) 768-4333 |
| Full Name | Terrance R Waggoner, Dc Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8015 W Us Highway 20, Shipshewana, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659445096 | NPI | - | NPPES |
| 100112570 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 51000148 (Indiana) | Primary |
| Provider Name | Kelly S Garber |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598956047 PECOS PAC ID: 7214976752 Enrollment ID: I20050425001242 |
| Provider Name | Terrance R Waggoner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811993009 PECOS PAC ID: 2961441498 Enrollment ID: I20091222000174 |
| Provider Name | Chase Waggoner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669844296 PECOS PAC ID: 3173894474 Enrollment ID: I20170804001568 |
| Provider Name | Anika L Dion |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679049639 PECOS PAC ID: 6305187774 Enrollment ID: I20190411002564 |
| Mailing Address | Practice Location Address |
|---|---|
| Terrance R Waggoner, Dc Pc 8015 W Us Highway 20, Shipshewana, IN 46565-9482 Ph: (260) 768-4333 | Terrance R Waggoner, Dc Pc 8015 W Us Highway 20, Shipshewana, IN 46565-9482 Ph: (260) 768-4333 |
Dr. Megan Lee Holley, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 660 S Van Buren St, Shipshewana, IN 46565 Phone: 260-768-4333 | |
Dr. Rosemarie Ann Scottt, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 935 N Van Buren St, Suite 2, Shipshewana, IN 46565 Phone: 260-768-4061 | |
Dr. Harry Scott Iii, D.O. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 935 N Van Buren St, Suite 2, Shipshewana, IN 46565 Phone: 260-768-4061 | |
Dr. Benjamin Lww Younts, D.O. Chiropractor Medicare: Medicare Enrolled Practice Location: 935 N Van Buren St, Suite 2, Shipshewana, IN 46565 Phone: 260-768-4061 | |
Kelly Garber, Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 8015 W Us Highway 20, Shipshewana, IN 46565 Phone: 260-768-4333 | |
5 & 20 Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 8015 W Us Highway 20, Shipshewana, IN 46565 Phone: 260-768-4333 Fax: 260-768-4333 |