| Wine Country Chiropractic Mark S. Banasiak Dc Inc. A Professional Corp | |
|
27555 Ynez Rd Ste 350, Temecula, CA 92591-4688 | |
| (951) 587-2225 | |
| (951) 365-0027 |
| Full Name | Wine Country Chiropractic Mark S. Banasiak Dc Inc. A Professional Corp |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 27555 Ynez Rd Ste 350, Temecula, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316259377 | NPI | - | NPPES |
| ZZZ63647Y | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC23625 (California) | Primary |
| Provider Name | Mark S Banasiak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033299359 PECOS PAC ID: 4587612379 Enrollment ID: I20050107000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Wine Country Chiropractic Mark S. Banasiak Dc Inc. A Professional Corp 29377 Rancho California Rd, Suite# 106, Temecula, CA 92591-5206 Ph: () - | Wine Country Chiropractic Mark S. Banasiak Dc Inc. A Professional Corp 27555 Ynez Rd Ste 350, Temecula, CA 92591-4688 Ph: (951) 587-2225 |
Dr. Kenneth W Pierce, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 28900 Old Town Front St, Suite 103, Temecula, CA 92590 Phone: 951-694-1485 Fax: 951-694-1072 | |
Glenda Sencere Davis, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 32605 State Hwy 79 South, Suite 210, Temecula, CA 92592 Phone: 951-693-5145 Fax: 951-693-4423 | |
Mark S. Banasiak, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 27555 Ynez Rd Ste 350, Temecula, CA 92591 Phone: 951-587-2225 Fax: 951-365-0027 | |
Dr. Donelle T Rasmussen, D.C., L.AC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 29645 Rancho California Rd, Ste 101, Temecula, CA 92591 Phone: 951-694-6350 | |
Dr. Denise Marie Maxwell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 40967 Winchester Rd, Temecula, CA 92591 Phone: 951-296-5286 Fax: 951-296-5287 | |
Dr. Kenneth Lam, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 41750 Winchester Rd Ste M, Temecula, CA 92590 Phone: 951-296-3595 Fax: 951-269-2665 | |
Dr. Brett Alan Mclaws, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27521 Commerce Center Dr, Suite B, Temecula, CA 92590 Phone: 951-506-9517 |