Melissa Ann Mechtenberg, DC
Individual provider Active NPI Chiropractor · Strum, WI
NPI 1669520276 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1669520276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3640-012 (WI)
- Practice address
- 120 5TH Ave S
Strum, WI 54770-7931 - Phone
- (715) 695-2946
- Fax
- (715) 695-3169
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 5TH Ave N
Strum, WI 54770-9252
Phone (715) 695-2946
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050308000141 | WI | Practitioner - Chiropractic | 4688628274 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3640-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Health Chiropractic Center, Inc. | Chiropractor | Current |
Accepting new patients |
Locations
13801 8th St
Osseo, WI 54758
Phone (715) 695-2946
105 5th Ave N
Strum, WI 54770
Phone (715) 695-2918
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3640-012 | WI | Yes |
Addresses
Primary practice location
120 5TH Ave S
Strum, WI 54770-7931
Mailing address
120 5TH Ave S
PO Box 147
Strum, WI 54770-7931
Phone (715) 695-2946
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38922800 | Medicaid | WI |
Other names
- Melissa Ann Mechtenberg
Other providers in Strum, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.