| Ms Melinda Kay Bruxvoort, DC | |
|
111 S Broadway St, Middleville, MI 49333-9167 | |
| (269) 205-2300 | |
| (269) 205-2301 |
| Full Name | Ms Melinda Kay Bruxvoort |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 16 Years |
| Location | 111 S Broadway St, Middleville, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851685408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 007372 (Iowa) | Secondary |
| 111N00000X | Chiropractor | 2301009760 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Craft Chiropractic Center Pc | 3274514799 | 3 |
| Provider Name | Craft Chiropractic Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700849379 PECOS PAC ID: 3274514799 Enrollment ID: O20040528000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melinda Kay Bruxvoort, DC 3409 Burton Ridge Rd Se, Apt E, Grand Rapids, MI 49546-5824 Ph: (319) 621-8544 | Ms Melinda Kay Bruxvoort, DC 111 S Broadway St, Middleville, MI 49333-9167 Ph: (269) 205-2300 |
Craft Chiropractic Center Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 111 S Broadway St, Middleville, MI 49333 Phone: 269-205-2300 | |
Dr. Eldon Lee Newmyer, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 127 E Main St, Middleville, MI 49333 Phone: 269-795-7096 Fax: 269-795-8846 | |
Dr. Ronald Howard Wilcox Iii, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 218 W Main St, Middleville, MI 49333 Phone: 269-795-7145 |