| Family Chirocare Sc | |
|
144 Oak Street, Glenwood City, WI 54013 | |
| (715) 265-7267 | |
| (715) 265-7977 |
| Full Name | Family Chirocare Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 144 Oak Street, Glenwood City, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770610990 | NPI | - | NPPES |
| 391685971015 | Other | WI | BCBS OF WI |
| 38984400 | Medicaid | WI | |
| 116M2FA | Other | WI | BCBS OF MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3566-012 (Wisconsin) | Primary |
| 111N00000X | Chiropractor | 3886-012 (Wisconsin) | Secondary |
| 111N00000X | Chiropractor | 2311 (Wisconsin) | Secondary |
| Provider Name | Lisa Belinda Kaiser |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790862514 PECOS PAC ID: 0749194843 Enrollment ID: I20031114000295 |
| Provider Name | Lance Jason Albrightson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528141314 PECOS PAC ID: 5294649307 Enrollment ID: I20031114000343 |
| Provider Name | Grant W Hutchins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770659286 PECOS PAC ID: 7113042474 Enrollment ID: I20110216000518 |
| Provider Name | Lucas J Wolf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568855799 PECOS PAC ID: 6800116773 Enrollment ID: I20150515000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Chirocare Sc Po Box 219, 144 Oak Street, Glenwood City, WI 54013-0219 Ph: (715) 265-7267 | Family Chirocare Sc 144 Oak Street, Glenwood City, WI 54013 Ph: (715) 265-7267 |
Dr. Lucas Joseph Wolf, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 144 Oak St., Glenwood City, WI 54013 Phone: 715-265-7267 Fax: 715-265-7977 | |
Erickson Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 107 East Oak Street, Glenwood City, WI 54013 Phone: 715-246-7500 | |
Dr. Lisa Belinda Kaiser, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 144 East Oak Street, Glenwood City, WI 54013 Phone: 715-265-7267 Fax: 715-265-7997 |