| Dr Mark Joseph Pensis, DC | |
|
275 S Main St, Clintonville, WI 54929-1604 | |
| (715) 823-2912 | |
| (715) 823-1331 |
| Full Name | Dr Mark Joseph Pensis |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 275 S Main St, Clintonville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720085632 | NPI | - | NPPES |
| 38833800 | Medicaid | WI | |
| 391524586016 | Other | WI | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2292-012 (Wisconsin) | Primary |
| Provider Name | Mark J. Pensis Chiropractic, S.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558429613 PECOS PAC ID: 5991889313 Enrollment ID: O20080225000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Joseph Pensis, DC 275 S Main St, P. O. Box 266, Clintonville, WI 54929-1604 Ph: (715) 823-2912 | Dr Mark Joseph Pensis, DC 275 S Main St, Clintonville, WI 54929-1604 Ph: (715) 823-2912 |
Mark J. Pensis Chiropractic, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 275 S Main St, Clintonville, WI 54929 Phone: 715-823-2912 | |
Clintonville Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: E9180 Golf Club Rd, Clintonville, WI 54929 Phone: 715-823-2121 Fax: 715-823-5969 | |
Dr. Chris Todd Krueger, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: E9180 Golf Club Rd, Clintonville, WI 54929 Phone: 715-823-2121 Fax: 715-823-5969 | |
Fetter Chiropractic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 275 S Main St, Clintonville, WI 54929 Phone: 715-853-1643 | |
Abbie Laine Fetter, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 275 S Main St, Clintonville, WI 54929 Phone: 715-823-2912 Fax: 715-823-1331 |