| Dr Cameron Mizeracki, DC | |
|
2609 5th Ave, Seattle, WA 98121-1517 | |
| (206) 539-1619 | |
| Not Available |
| Full Name | Dr Cameron Mizeracki |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 6 Years |
| Location | 2609 5th Ave, Seattle, Washington |
| 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 |
|---|---|---|---|
| 1598432445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH61499339 (Washington) | Primary |
| 111N00000X | Chiropractor | 36017 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chiro One Wellness Center Of Renton Pllc | 4385095900 | 3 |
| Chiro One Wellness Center Of Denny Triangle Pllc | 2769871615 | 3 |
| Chiro One Wellness Center Of Belltown Pllc | 9032598198 | 2 |
| Provider Name | Chiro One Wellness Center of Denny Triangle PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508520875 PECOS PAC ID: 2769871615 Enrollment ID: O20211115001044 |
| Provider Name | Chiro One Wellness Center of Belltown PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710624317 PECOS PAC ID: 9032598198 Enrollment ID: O20220620001642 |
| Provider Name | Chiro One Wellness Center of Renton PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336914571 PECOS PAC ID: 4385095900 Enrollment ID: O20240109000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cameron Mizeracki, DC 2609 5th Ave, Seattle, WA 98121-1517 Ph: Not Available | Dr Cameron Mizeracki, DC 2609 5th Ave, Seattle, WA 98121-1517 Ph: (206) 539-1619 |
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