Tyler Gravley, | |
2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | |
(504) 462-0242 | |
Not Available |
Full Name | Tyler Gravley |
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Gender | Male |
Speciality | Chiropractic |
Experience | 8 Years |
Location | 2077 N Causeway Blvd, Mandeville, Louisiana |
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 |
---|---|---|---|
1891285193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1807 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Family Chiropractic, Llc | 8123377975 | 2 |
Provider Name | Southern Family Chiropractic, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619462082 PECOS PAC ID: 8123377975 Enrollment ID: O20180828000803 |
Mailing Address | Practice Location Address |
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Tyler Gravley, 15211 Carlou Dr, Ponchatoula, LA 70454-6423 Ph: () - | Tyler Gravley, 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 Ph: (504) 462-0242 |
James Joseph Derbes, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 235 West Florida St, Mandeville, LA 70448 Phone: 985-626-7795 | |
Bart C Sellers, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 221 Saint Ann Dr, Ste 2, Mandeville, LA 70471 Phone: 985-624-9888 Fax: 985-624-2572 | |
Taylor Elizabeth Ruppert, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 102 Fontainbleau Dr # D1, Mandeville, LA 70471 Phone: 985-789-1720 | |
Shelley Radosta, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1357 N Causeway Blvd, Ste 2, Mandeville, LA 70471 Phone: 985-778-0880 Fax: 985-778-0882 | |
Dr. Brandon Matthew Broadus, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 102 Fontainbleau Dr # D1, Mandeville, LA 70471 Phone: 985-400-5300 Fax: 985-400-5301 | |
Dr. Justin Schexnaildre, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 102 Fontainbleau Dr Ste D1, Mandeville, LA 70471 Phone: 985-400-5300 Fax: 985-400-5301 | |
Dr. Lawrence Westley Gamble, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3573 Us-190, Suite F, Mandeville, LA 70471 Phone: 985-260-8863 |