| Mark J. Pensis Chiropractic, S.c. | |
|
275 S Main St, Clintonville, WI 54929-1604 | |
| (715) 823-2912 | |
| Not Available |
| Full Name | Mark J. Pensis Chiropractic, S.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 275 S Main St, Clintonville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558429613 | NPI | - | NPPES |
| 391524586016 | Other | WI | BLUE CROSS |
| 38833800 | Medicaid | WI | |
| 6264 | Other | WI | NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2292-012 (Wisconsin) | Primary |
| Provider Name | Mark J Pensis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720085632 PECOS PAC ID: 9931282019 Enrollment ID: I20080213000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J. Pensis Chiropractic, S.c. Po Box 266, Clintonville, WI 54929-0266 Ph: (715) 823-2912 | Mark J. Pensis Chiropractic, S.c. 275 S Main St, Clintonville, WI 54929-1604 Ph: (715) 823-2912 |
Dr. Samuel John Buckett, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: E9180 Golf Club Road, Clintonville, WI 54929 Phone: 715-823-2121 Fax: 715-823-5969 | |
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 | |
Dr. Mark Joseph Pensis, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 275 S Main St, Clintonville, WI 54929 Phone: 715-823-2912 Fax: 715-823-1331 | |
Fetter Chiropractic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 275 S Main St, Clintonville, WI 54929 Phone: 715-853-1643 |