| Bre Chiropractic | |
|
621 S Gammon Rd, Madison, WI 53719-1371 | |
| (608) 630-9040 | |
| (608) 630-9060 |
| Full Name | Bre Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 621 S Gammon Rd, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942575287 | NPI | - | NPPES |
| 100022189 | Medicaid | WI | |
| W12807 | Other | WI | MEDICARE ORGANIZATION PTAN |
| W12807001 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4875-12 (Wisconsin) | Primary |
| Provider Name | Breanna Rose Ballweg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467727826 PECOS PAC ID: 1557517711 Enrollment ID: I20120803000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Bre Chiropractic 621 S Gammon Rd, Madison, WI 53719-1371 Ph: (608) 630-9040 | Bre Chiropractic 621 S Gammon Rd, Madison, WI 53719-1371 Ph: (608) 630-9040 |
Chiropractic Works Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4620 Dovetail Dr, Suite 3., Madison, WI 53704 Phone: 608-245-0836 Fax: 608-245-0836 | |
Aaron A Abplanalp Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 11 North Broom Street, Madison, WI 53703 Phone: 608-658-8558 | |
Logan Georgeson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 132 Alton Dr, Madison, WI 53718 Phone: 608-963-4985 | |
Dr. Nathan James Andersen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 504 S. Yellowstone Lane, Madison, WI 53719 Phone: 847-558-9155 | |
Dr. Michael Robert Beyler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8020 Watts Rd, Madison, WI 53719 Phone: 608-833-7872 | |
Laura J Boyle, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2702 Monroe St, Madison, WI 53711 Phone: 608-231-3370 Fax: 608-231-1547 | |
Dr. Paul Stewart Bloom, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7514 Whitacre Rd, Madison, WI 53717 Phone: 608-833-3367 Fax: 608-833-3368 |