Dr Jack Anthony Manzella, DC is a medicare enrolled "Chiropractor" provider in Bangor, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 1989 and has 35 years of diverse experience with area of expertise as Chiropractic. His current practice location is
1505 Commercial St., Bangor Family Chiropractic, Bangor, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 486-4899.
Dr Jack Anthony Manzella is licensed to practice in Wisconsin (license number 2555-012) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174652291.
Healthcare Provider's Profile
| Full Name | Dr Jack Anthony Manzella |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 35 Years |
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| Location | 1505 Commercial St., Bangor, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jack Anthony Manzella attended and graduated from Palmer College Chiropractic - Davenport in 1989
NPI Data:
- NPI Number: 1174652291
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688860521
- Enrollment ID: I20101118000333
Medical Identifiers
Medical identifiers for Dr Jack Anthony Manzella such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174652291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 2555-012 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Anthony Manzella is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Jack Anthony Manzella, DC
22993 Cty. Rd. Y, Jack A. Manzella, D.c.,
Rockland, WI 54653
Ph: (608) 486-4445 | Dr Jack Anthony Manzella, DC
1505 Commercial St., Bangor Family Chiropractic,
Bangor, WI 54614
Ph: (608) 486-4899 |
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