Jason K Bosko, D.C.

Individual provider Active NPI Chiropractor · Greencastle, PA

NPI 1083683585 · NPPES record last updated Apr 30, 2021

Key facts

NPI
1083683585
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC007468L (PA)
Practice address
63 S Jefferson St
Greencastle, PA 17225-1511
Phone
(717) 643-0822
Fax
(717) 643-0953
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

63 S Jefferson St
Greencastle, PA 17225-1511
Phone (717) 643-0822

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070620000214 PA Practitioner - Chiropractic 9032218862 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Bosko Family Chiropractic Chiropractor Current
since May 19, 2014
Accepting new patients

Locations

60 S Washington St
Greencastle, PA 17225
Phone (717) 643-0574

63 S Jefferson St
Greencastle, PA 17225
Phone (717) 643-0822

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007468L PA Yes

Addresses

Primary practice location

63 S Jefferson St
Greencastle, PA 17225-1511

Mailing address

63 S Jefferson St
Greencastle, PA 17225-1511
Phone (717) 643-0822

Other identifiers

IdentifierTypeStateIssuer
DC007468OtherPALISCENSE

Other providers in Greencastle, PA

All providers in Greencastle, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.