| Advanced Chiropractic Wellness Center, Llc | |
|
16 Lincoln Ave, Pawcatuck, CT 06379-1856 | |
| (860) 514-5148 | |
| Not Available |
| Full Name | Advanced Chiropractic Wellness Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 16 Lincoln Ave, Pawcatuck, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023291804 | NPI | - | NPPES |
| P2114470 | Other | CT | OXFORD HEALTH |
| 050001268CT02 | Other | CT | ANTHEM BLUE CROSS |
| 3756844 | Other | CT | AETNA |
| 950692 | Other | CT | HEALTHNET |
| 4404366 | Other | CT | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 001268 (Connecticut) | Primary |
| Provider Name | John M Flaherty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245250893 PECOS PAC ID: 8729030507 Enrollment ID: I20050221000457 |
| Provider Name | Kristina Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407613904 PECOS PAC ID: 1355787441 Enrollment ID: I20240312000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Chiropractic Wellness Center, Llc 16 Lincoln Ave, Pawcatuck, CT 06379-1856 Ph: (860) 514-5148 | Advanced Chiropractic Wellness Center, Llc 16 Lincoln Ave, Pawcatuck, CT 06379-1856 Ph: (860) 514-5148 |
Dr. Carlo Antonino, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 259 S Broad St, Pawcatuck, CT 06379 Phone: 860-599-5551 Fax: 860-599-5595 | |
John Michael Flaherty, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16 Lincoln Ave, Pawcatuck, CT 06379 Phone: 860-599-2223 Fax: 888-588-1538 | |
Dr. Kristina Taylor, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 20 S Anguilla Rd Ste 4, Pawcatuck, CT 06379 Phone: 860-599-2223 |