| Dr Benjamin Alan Luczak, DC | |
|
N68w28550 Sussex Rd, Suite 2, Hartland, WI 53029-9630 | |
| (262) 538-1630 | |
| (262) 538-1628 |
| Full Name | Dr Benjamin Alan Luczak |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 17 Years |
| Location | N68w28550 Sussex Rd, Hartland, Wisconsin |
| 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 |
|---|---|---|---|
| 1093044133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4574 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Falls Chiropractic Group Sc | 8729045612 | 4 |
| Provider Name | Falls Chiropractic Group Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922029016 PECOS PAC ID: 8729045612 Enrollment ID: O20041213000366 |
| Provider Name | Russell R Hauser Dc Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558458026 PECOS PAC ID: 8123077971 Enrollment ID: O20050119000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Alan Luczak, DC N68w28550 Sussex Rd, Suite 2, Hartland, WI 53029-9630 Ph: (262) 538-1630 | Dr Benjamin Alan Luczak, DC N68w28550 Sussex Rd, Suite 2, Hartland, WI 53029-9630 Ph: (262) 538-1630 |
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