| Maxliving Chiropractic 0168 | |
|
5150 Northland Dr Ne Ste B Grand Rapids MI 49525-1081 | |
| (616) 314-7616 | |
| Not Available |
| Full Name | Maxliving Chiropractic 0168 |
|---|---|
| Speciality | Chiropractor |
| Location | 5150 Northland Dr Ne Ste B, Grand Rapids, Michigan |
| Authorized Official Name and Position | Alicia Ashton-mayer (AO/PROVIDER/OWNER) |
| Authorized Official Contact | 7347762026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxliving Chiropractic 0168 5150 Northland Dr Ne Ste B Grand Rapids MI 49525-1081 Ph: (616) 314-7616 | Maxliving Chiropractic 0168 5150 Northland Dr Ne Ste B Grand Rapids MI 49525-1081 Ph: (616) 314-7616 |
| NPI Number | 1295431302 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 04/25/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 3173981131 |
|---|---|
| Medicare Enrollment ID | O20230622003507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295431302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 111N00000X | Chiropractor | (NU) | Primary |
| Provider Name | Kris a Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982783130 PECOS PAC ID: 0446245740 Enrollment ID: I20040422000079 |
| Provider Name | Alicia Ashton-mayer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578269676 PECOS PAC ID: 4082072046 Enrollment ID: I20230622003534 |
| Provider Name | Amber Brashier Krusniak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003620907 PECOS PAC ID: 5193226835 Enrollment ID: I20250903000232 |
| Provider Name | Jesse Reichle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811702491 PECOS PAC ID: 2264956960 Enrollment ID: I20251216003984 |
Gastroenterology Specialist PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-975-9100 Fax: 616-975-1161 |
Spectrum Health Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Foremost Dr Se, Grand Rapids, MI 49546 Phone: 616-486-9460 |
American Current Care of Michigan PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 Three Mile Road, Suite 110, Grand Rapids, MI 49544 Phone: 616-785-2619 Fax: 616-785-2623 |
Cherry Health - School Linked Vision Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-776-2263 |
Patient One Care, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 28th St Se, Grand Rapids, MI 49508 Phone: 616-323-3999 Fax: 616-552-1618 |
Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-486-6870 |