| Renovo Chiropractic Llc | |
|
2147 Nw Highway 101 Lincoln City OR 97367-4254 | |
| (541) 961-8116 | |
| Not Available |
| Full Name | Renovo Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2147 Nw Highway 101, Lincoln City, Oregon |
| Authorized Official Name and Position | Michael Angel Nelson (OWNER) |
| Authorized Official Contact | 5419618116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovo Chiropractic Llc Po Box 1235 Lincoln City OR 97367-8135 Ph: (541) 961-8116 | Renovo Chiropractic Llc 2147 Nw Highway 101 Lincoln City OR 97367-4254 Ph: (541) 961-8116 |
| NPI Number | 1710442751 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 04/29/2019 |
| Medicare PECOS PAC ID | 9436491156 |
|---|---|
| Medicare Enrollment ID | O20190430000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710442751 | NPI | - | NPPES |
| 50073474 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael Angel Nelson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275060410 PECOS PAC ID: 9931478856 Enrollment ID: I20170710001662 |
| Provider Name | Mark M Gabriel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538457585 PECOS PAC ID: 2668742065 Enrollment ID: I20170719001331 |
| Provider Name | Olga Tsytsyna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558833301 PECOS PAC ID: 5193112100 Enrollment ID: I20220520000116 |
Samaritan North Lincoln Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 Ne West Devils Lake Rd, Suite 3, Lincoln City, OR 97367 Phone: 541-996-7111 | |
Coastal Health Practitioners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Ne West Devils Lake Road, Coastal Health Practitioners, Lincoln City, OR 97367 Phone: 541-994-5591 Fax: 541-996-7294 | |
Samaritan North Lincoln Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 28th St, Lincoln City, OR 97367 Phone: 541-768-7900 | |
Lincoln Community Health Center - Lincoln City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4422 Ne Devils Lake Blvd Ste 2, Lincoln City, OR 97367 Phone: 541-265-4947 Fax: 541-994-0261 | |
Samaritan North Lincoln Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2870 Ne West Devils Lake Rd, Suite B, Lincoln City, OR 97367 Phone: 541-557-6490 | |
Lincoln County Health & Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3780 Se Spy Glass Ridge Dr, Lincoln City, OR 97367 Phone: 541-996-2311 Fax: 541-557-1643 | |
Samaritan Coastal Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 825 Nw Highway 101 Ste A, Lincoln City, OR 97367 Phone: 541-996-7480 Fax: 541-557-6439 |