| Jacob Jon Desantis, | |
|
1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 | |
| (715) 234-3067 | |
| Not Available |
| Full Name | Jacob Jon Desantis |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 8 Years |
| Location | 1801 W Knapp St Ste 1, Rice 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 |
|---|---|---|---|
| 1952878415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5417 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wild Rivers Chiropractic Llc | 9032447297 | 2 |
| Provider Name | Wild Rivers Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649831132 PECOS PAC ID: 9032447297 Enrollment ID: O20190826002755 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Jon Desantis, 1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 Ph: (715) 205-5564 | Jacob Jon Desantis, 1801 W Knapp St Ste 1, Rice Lake, WI 54868-1381 Ph: (715) 234-3067 |
Tanner Ardell Kleppe, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1207 W Knapp St, Rice Lake, WI 54868 Phone: 715-475-1700 | |
Dr. Michael David Sommerfeld, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 6 W Saint Patrick St, Rice Lake, WI 54868 Phone: 715-234-4222 Fax: 715-736-0751 | |
Dr. David A Sommerfeld, D. C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 6 W Saint Patrick St, Rice Lake, WI 54868 Phone: 715-234-4222 Fax: 715-736-0751 | |
Dr. Steven Donald Crotteau, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12 W Marshall St, Suite #110, Rice Lake, WI 54868 Phone: 715-234-3808 Fax: 715-234-3809 | |
Zachary Alan Cole, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 225 S Main St, Rice Lake, WI 54868 Phone: 715-234-9876 | |
Crotteau Chiropractic, L.l.c Chiropractor Medicare: Medicare Enrolled Practice Location: 12 W Marshall St, Suite #110, Rice Lake, WI 54868 Phone: 715-234-3808 Fax: 715-234-3809 | |
Michaela Brynn Booth, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16 W John St, Rice Lake, WI 54868 Phone: 715-234-3067 |