J Michael Davis Dc A Professional Chiropractic Corp - Medicare Primary Care in Grover Beach, CA

J Michael Davis Dc A Professional Chiropractic Corp is a medicare enrolled primary clinic (Clinic/center) in Grover Beach, California. The current practice location for J Michael Davis Dc A Professional Chiropractic Corp is 902 W Grand Ave, Grover Beach, California. For appointments, you can reach them via phone at (805) 489-2200. The mailing address for J Michael Davis Dc A Professional Chiropractic Corp is 902 W Grand Ave, Grover Beach, California and phone number is (805) 489-2200.

J Michael Davis Dc A Professional Chiropractic Corp is licensed to practice in California (license number DC12649). The clinic also participates in the medicare program and its NPI number is 1134436678. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (805) 489-2200.

Contact Information

J Michael Davis Dc A Professional Chiropractic Corp
902 W Grand Ave
Grover Beach
CA 93433-2136
(805) 489-2200
(805) 489-1144

Primary Care Clinic Profile

Full NameJ Michael Davis Dc A Professional Chiropractic Corp
SpecialityClinic/Center
Location902 W Grand Ave, Grover Beach, California
Authorized Official Name and PositionJames Michael Davis (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact8054892200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
J Michael Davis Dc A Professional Chiropractic Corp
902 W Grand Ave
Grover Beach
CA 93433-2136

Ph: (805) 489-2200
J Michael Davis Dc A Professional Chiropractic Corp
902 W Grand Ave
Grover Beach
CA 93433-2136

Ph: (805) 489-2200

NPI Details:

NPI Number1134436678
Provider Enumeration Date09/03/2010
Last Update Date09/15/2011

Medicare PECOS Information:

Medicare PECOS PAC ID0648441071
Medicare Enrollment IDO20110915000470

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Medical Identifiers

Medical identifiers for J Michael Davis Dc A Professional Chiropractic Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134436678NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center DC12649 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. J Michael Davis Dc A Professional Chiropractic Corp acts as a billing entity for following providers:
Provider NameJames Michael Davis
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1295881738
PECOS PAC ID: 0547262941
Enrollment ID: I20070214000304

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Clinic/Center in Grover Beach, CA

Chc Grover Beach
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 555 S 13th St, Suite B, Grover Beach, CA 93433
Phone: 805-473-4712    Fax: 805-473-1830
County Of San Luis Obispo Drug And Alcohol Service
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1523 Longbranch Ave, Grover Beach, CA 93433
Phone: 805-473-4759    Fax: 805-473-7188

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