Carissa M Jaecks (NPI# 1104133867, PAC ID# 6305026162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1104133867 |
| PAC ID by PECOS | 6305026162 |
| Professional Enrollment ID | I20110210000898 |
| Full Name | Carissa M Jaecks |
| Organization Legal Name | TRI COUNTY CHIROPRACTIC SC |
| Address |
702 Eisenhower Dr Suite G Kimberly WI 54136-2152 |
| Phone Number | 9207301155 |
| Gender | F |
| Medical School | NATIONAL UNIVERSITY OF ARTS AND SCIENCES, MEDICAL DEPARTMENT |
| Graduation Year | 2009 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8628005071 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 | 9207301155 | TRI COUNTY CHIROPRACTIC SC |
| 1620 N Shawano St, Suite E, New London, WI 54961-9318 | 9209825533 | TRI COUNTY CHIROPRACTIC SC |
| Organization Legal Name | TRI COUNTY CHIROPRACTIC SC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glen Edward Rooyakkers | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Wanda Rooyakkers | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Jared Scott Bedor | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Street Address |
702 EISENHOWER DR SUITE G |
| City | KIMBERLY |
| State | WI |
| Zip | 54136-2152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glen Edward Rooyakkers | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Wanda Rooyakkers | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Jared Scott Bedor | Chiropractic | Tri County Chiropractic Sc | 702 Eisenhower Dr, Suite G, Kimberly, WI 54136-2152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Montgomery J Elmer | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Nathan C Grunwald | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Suzanne C Bloomhuff | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Sarah K Marcoe | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Danielle L Vanevenhoven | Nurse Practitioner | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Gail C Helgeson | Nurse Practitioner | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Katherine L Erstad | Nurse Practitioner | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Rebecca Kristeen Doro | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Carolyn M Blanc | Family Medicine | Thedacare Incorporated | 520 W 3rd St, Kimberly, WI 54136-1300 |
| Jessica A Wolter | Physical Therapy | Aegis Group Practice LLC | 825 Cobblestone Ln, Kimberly, WI 54136-2116 |
| Find all physicians in zip 54136 | |||
| City | KIMBERLY |
| Zip Code | 54136 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KIMBERLY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Carissa M Jaecks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.