| Samantha Stackpole, DC | |
|
105 N Washington St, Jerseyville, IL 62052-1633 | |
| (618) 556-1062 | |
| Not Available |
| Full Name | Samantha Stackpole |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 105 N Washington St, Jerseyville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487427696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038014047 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038.014047 (Illinois) | Primary |
| Provider Name | Radiant Chiropractic and Natural Health LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952273914 PECOS PAC ID: 1456820109 Enrollment ID: O20260512002974 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Stackpole, DC 105 N Washington St, Jerseyville, IL 62052-1633 Ph: (618) 556-1062 | Samantha Stackpole, DC 105 N Washington St, Jerseyville, IL 62052-1633 Ph: (618) 556-1062 |
Dr. Michael Ferris Williams Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 519 S State St, Jerseyville, IL 62052 Phone: 618-639-6611 |
Dr. Derek Alan Woolsey, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 104 N State St, Jerseyville, IL 62052 Phone: 618-498-3447 Fax: 618-498-1607 |
Dugger Chiropractic Center, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 104 N State St, Jerseyville, IL 62052 Phone: 618-498-3447 Fax: 618-498-1607 |
Dr. James A Briggs, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 903 S State St, Jerseyville, IL 62052 Phone: 618-498-8806 Fax: 618-798-8812 |
Williams Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 519 S State St, Jerseyville, IL 62052 Phone: 618-639-6611 |
Ronald J Mueller, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 903 S State St, Jerseyville, IL 62052 Phone: 618-498-8806 |
Illinois Healthcenters Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 519 S State St, Jerseyville, IL 62052 Phone: 330-309-9550 |