| Mr Kevin P Groth, DC | |
|
1540 Heritage Blvd, Suite 203, West Salem, WI 54669 | |
| (608) 786-3670 | |
| (608) 786-3672 |
| Full Name | Mr Kevin P Groth |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 16 Years |
| Location | 1540 Heritage Blvd, West Salem, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255350542 | NPI | - | NPPES |
| P00600195 | Other | WI | MEDICARE RAILROAD |
| 38959600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4109-012 (Wisconsin) | Primary |
| Provider Name | Groth Chiropractic Clinc Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043685316 PECOS PAC ID: 5193026664 Enrollment ID: O20151229001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin P Groth, DC 1540 Heritage Blvd., Suite 203, West Salem, WI 54669 Ph: (608) 786-3670 | Mr Kevin P Groth, DC 1540 Heritage Blvd, Suite 203, West Salem, WI 54669 Ph: (608) 786-3670 |
Groth Chiropractic Clinc Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 1540 Heritage Blvd, Suite 203, West Salem, WI 54669 Phone: 608-786-3670 Fax: 608-786-3672 | |
Coulee Health Llc Chiropractor Medicare: Medicare Enrolled Practice Location: N4622 County Road M, West Salem, WI 54669 Phone: 608-612-0777 Fax: 608-807-5142 | |
Ashley Gravelle, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: N4622 County Road M, West Salem, WI 54669 Phone: 608-612-0777 | |
Dr. Kyle David Boland, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: N4622 County Road M, West Salem, WI 54669 Phone: 608-612-0777 Fax: 608-807-5142 | |
Tenniswood Family Chiropractic S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1537 Heritage Blvd, 1537 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-3670 Fax: 608-786-3672 | |
Dr. Erica Boland, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: N4622 County Road M, West Salem, WI 54669 Phone: 608-612-0777 Fax: 608-807-5142 |