| Lewis Health Enterprises Llc | |
|
202 N Main St, Jefferson, WI 53549-1149 | |
| (920) 674-5025 | |
| (920) 674-5253 |
| Full Name | Lewis Health Enterprises Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 202 N Main St, Jefferson, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922540764 | NPI | - | NPPES |
| 1700964228 | Other | NPI | |
| 000070561 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2506-012 (Wisconsin) | Primary |
| Provider Name | Alan P Lewis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700964228 PECOS PAC ID: 4385801398 Enrollment ID: I20120202000589 |
| Provider Name | Timothy Allen Wilbanks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861684078 PECOS PAC ID: 0345299129 Enrollment ID: I20250319001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Health Enterprises Llc 1015 S 8th St, Watertown, WI 53094-4742 Ph: (920) 262-1877 | Lewis Health Enterprises Llc 202 N Main St, Jefferson, WI 53549-1149 Ph: (920) 674-5025 |
Dr. William J Lust, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 109 E Milwaukee St, Jefferson, WI 53549 Phone: 920-674-6627 Fax: 920-674-6632 | |
Pain Relief Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109 E Milwaukee St, Jefferson, WI 53549 Phone: 920-674-6627 | |
Chiropractic Care Centers, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109 E Milwaukee St, Jefferson, WI 53549 Phone: 920-674-6627 Fax: 920-674-6632 | |
Dr. Nichole N Pankow, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109 E Milwaukee St, Jefferson, WI 53549 Phone: 920-674-6627 Fax: 920-674-6632 | |
David J Volk Dc Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 220 E Racine St, Jefferson, WI 53549 Phone: 920-674-6108 | |
Dr. Alan Paul Lewis, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 202 N Main St, Jefferson, WI 53549 Phone: 920-674-5025 Fax: 920-674-5253 | |
Dr. David J Volk, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 220 E Racine St, Jefferson, WI 53549 Phone: 920-674-6108 Fax: 920-674-3771 |