Ty Rebedew, | |
147 N State St, Berlin, WI 54923-1621 | |
(920) 361-3515 | |
(920) 361-2733 |
Full Name | Ty Rebedew |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 147 N State St, Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073100178 | NPI | - | NPPES |
5588-12 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3306-12 (Wisconsin) | Primary |
Provider Name | Jaskowiak Chiropractic Office Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720111578 PECOS PAC ID: 5496841058 Enrollment ID: O20071012000581 |
Provider Name | Lyons Health, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740439108 PECOS PAC ID: 4183781925 Enrollment ID: O20090324000287 |
Mailing Address | Practice Location Address |
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Ty Rebedew, 147 N State St, Berlin, WI 54923-1621 Ph: (920) 361-3515 | Ty Rebedew, 147 N State St, Berlin, WI 54923-1621 Ph: (920) 361-3515 |
Dr. Patrick James Edwards, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 147 N State St, Berlin, WI 54923 Phone: 920-361-3515 | |
Christopher Roger Lau, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 120 Commercial St, Berlin, WI 54923 Phone: 920-361-9917 Fax: 920-361-9894 | |
Wepner Chiropractic Office, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 147 N State St, Berlin, WI 54923 Phone: 920-361-3515 Fax: 920-361-2733 | |
Lau Chiropractic And Wellness Center, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 120 Commercial St, Berlin, WI 54923 Phone: 920-361-9917 Fax: 920-361-9823 | |
Dr. Jennifer T Mauel, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 147 N State St, Berlin, WI 54923 Phone: 920-361-3515 Fax: 920-361-2733 | |
Terry Lin Wepner, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 147 N State Street, Berlin, WI 54923 Phone: 920-361-3515 Fax: 920-361-2733 |