| Dr Jimmy A Reidt, DC | |
|
17 5th Ave, Shell Lake, WI 54871 | |
| (715) 468-2275 | |
| Not Available |
| Full Name | Dr Jimmy A Reidt |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 34 Years |
| Location | 17 5th Ave, Shell Lake, 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 |
|---|---|---|---|
| 1508910514 | NPI | - | NPPES |
| 38867700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2861 (Wisconsin) | Primary |
| 111N00000X | Chiropractor | 3069 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Lakes Community Health Center Inc | 0840366654 | 88 |
| Provider Name | The Lakes Community Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
| Provider Name | Shell Lake Cumberland Chiropractic Clinics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023786324 PECOS PAC ID: 3577951904 Enrollment ID: O20211103002951 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jimmy A Reidt, DC Po Box 637, Shell Lake, WI 54871-0637 Ph: (715) 468-2275 | Dr Jimmy A Reidt, DC 17 5th Ave, Shell Lake, WI 54871 Ph: (715) 468-2275 |
Shell Lake Cumberland Chiropractic Clinics Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 | |
Shell Lake Cumberland Chiropractic Clinics Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 | |
Dr. Brenda L Joyce-reidt, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 17 5th Ave, Shell Lake, WI 54871 Phone: 715-468-2275 |