| Active Chiropractic Limited Liability Company Pa | |
|
439 Main St, Suite 104, Saco, ME 04072-1528 | |
| (207) 571-8028 | |
| (866) 213-8207 |
| Full Name | Active Chiropractic Limited Liability Company Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 439 Main St, Saco, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013094291 | NPI | - | NPPES |
| U56702 | Other | ME | HARVARD PILGRAM |
| 0020752 | Other | ME | MEDICARE PTAN |
| 022530 | Other | ME | BLUE CROSS BLUE SHIELD |
| 05Z044016ME02 | Other | ME | FEDERAL EMPLOYEE PLANS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CR1313 (Maine) | Primary |
| Provider Name | Brent Reiche |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780762211 PECOS PAC ID: 9032152780 Enrollment ID: I20050603000837 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Chiropractic Limited Liability Company Pa 439 Main St, Suite 104, Saco, ME 04072-1528 Ph: (207) 571-8028 | Active Chiropractic Limited Liability Company Pa 439 Main St, Suite 104, Saco, ME 04072-1528 Ph: (207) 571-8028 |
Dr. Frederick William Heidrich, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 52 King St, Saco, ME 04072 Phone: 207-284-2059 | |
Dr. Roland Joseph Chasse, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7 Hutchins St, Saco, ME 04072 Phone: 207-282-5233 Fax: 207-282-1395 | |
Jordan A Garlock, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3 Eastview Pkwy Ste 3, Saco, ME 04072 Phone: 207-284-1800 Fax: 207-284-1802 | |
Dr. Brent Thomas Reiche, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 439 Main St, Saco, ME 04072 Phone: 207-571-8028 Fax: 866-213-8207 | |
Southern Maine Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3 Eastview Pkwy Ste 3, Saco, ME 04072 Phone: 207-284-1800 Fax: 207-284-1802 | |
David W. Benham, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 575 Main St, Saco, ME 04072 Phone: 207-283-0232 Fax: 207-286-8643 |