| Wellness Doctor, Inc. | |
|
1345 Nw Wall St Ste 202 Bend OR 97701-1967 | |
| (541) 318-1000 | |
| (541) 318-7050 |
| Full Name | Wellness Doctor, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1345 Nw Wall St Ste 202, Bend, Oregon |
| Authorized Official Name and Position | Jason M. Kremer (OWNER/ CHIROPRACTOR) |
| Authorized Official Contact | 5413181000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Doctor, Inc. 1345 Nw Wall St Ste 202 Bend OR 97701-1967 Ph: (541) 318-1000 | Wellness Doctor, Inc. 1345 Nw Wall St Ste 202 Bend OR 97701-1967 Ph: (541) 318-1000 |
| NPI Number | 1811231178 |
|---|---|
| Provider Enumeration Date | 11/26/2012 |
| Last Update Date | 11/26/2012 |
| Medicare PECOS PAC ID | 0446404404 |
|---|---|
| Medicare Enrollment ID | O20130129000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811231178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3681 (Oregon) | Primary |
| Provider Name | Jason M Kremer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245321082 PECOS PAC ID: 3173699683 Enrollment ID: I20080908000285 |
| Provider Name | Jeffrey S Cobbs |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376744623 PECOS PAC ID: 9234438235 Enrollment ID: I20160426000627 |
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