| Dr Chad Lane Tieszen, DC | |
|
128 N Dakota St, Canton, SD 57013 | |
| (605) 987-5577 | |
| (605) 764-2020 |
| Full Name | Dr Chad Lane Tieszen |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 27 Years |
| Location | 128 N Dakota St, Canton, South Dakota |
| 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 |
|---|---|---|---|
| 1669440434 | NPI | - | NPPES |
| 0519793 | Medicaid | IA | |
| 7600460 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 912 (South Dakota) | Primary |
| Provider Name | Tieszen Chiropractic Clinic, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730206806 PECOS PAC ID: 3971601915 Enrollment ID: O20070614000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chad Lane Tieszen, DC Po Box 224, Canton, SD 57013 Ph: (605) 987-5577 | Dr Chad Lane Tieszen, DC 128 N Dakota St, Canton, SD 57013 Ph: (605) 987-5577 |
Dr. Kirk Brooks Henderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 113 S Broadway St, Canton, SD 57013 Phone: 052-145-8046 | |
Canton Chiropractic Prof. Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 113 S Broadway St, Canton, SD 57013 Phone: 605-214-5804 | |
Tieszen Chiropractic Clinic, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 128 N Dakota St, Canton, SD 57013 Phone: 605-987-5577 | |
Mr. Michael R Swenson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 28199 West Ave, Canton, SD 57013 Phone: 605-987-2829 |