| Dr Stacey Kim Raya, DC | |
|
200 Queen St, Southington, CT 06489-1901 | |
| (860) 621-2225 | |
| (860) 621-2868 |
| Full Name | Dr Stacey Kim Raya |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 200 Queen St, Southington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073502134 | NPI | - | NPPES |
| 0124979 | Other | AETNA/USHEALTHCARE | |
| 0V1745 | Other | CT | LANDMARK |
| 050000938CT01 | Other | CT | BLUE CROSS |
| P414597 | Other | OXFORD | |
| 954 | Other | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 000938 (Connecticut) | Primary |
| Provider Name | Advanced Back Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043486947 PECOS PAC ID: 5395878433 Enrollment ID: O20100727000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacey Kim Raya, DC 200 Queen St, Southington, CT 06489-1901 Ph: (860) 621-2225 | Dr Stacey Kim Raya, DC 200 Queen St, Southington, CT 06489-1901 Ph: (860) 621-2225 |
Advanced Back Center Chiropractor Medicare: Medicare Enrolled Practice Location: 200 Queen St, Southington, CT 06489 Phone: 860-621-2225 Fax: 860-621-2868 | |
Dr. Jeana Forant, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 200 Queen St, Southington, CT 06489 Phone: 860-621-2225 | |
Dr. Koby Douglas Fowler, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1095 West St Unit 1, Southington, CT 06489 Phone: 860-620-1705 Fax: 860-620-1746 | |
Life Family Chiropractic Of Southington, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 56 Center St Ste 2, Southington, CT 06489 Phone: 860-276-9970 | |
Southington Chiropractic Center, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 474 N Main St, Southington, CT 06489 Phone: 860-621-7770 Fax: 860-621-2782 | |
Dr. Donald F Salomone, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 474 N Main St, Southington, CT 06489 Phone: 860-621-7770 Fax: 860-621-2782 |