Michael Patrick Connelly, DC

Individual provider Active NPI Chiropractor · Limerick, PA

NPI 1851356166 · NPPES record last updated Jul 2, 2015

Key facts

NPI
1851356166
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC005058L (PA)
Practice address
695 N Lewis Rd
Limerick, PA 19468-1227
Phone
(610) 495-4550
Fax
(610) 495-4553
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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
Life Chiropractic College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

695 N Lewis Rd
Limerick, PA 19468-1227
Phone (610) 495-4550

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120224000359 PA Practitioner - Chiropractic 6800936063 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Pain Relief & Wellness, PC Chiropractor Past
since Nov 1, 2001
Accepting new patients
Kopicki Chiropractic, LLC Chiropractor Past
since May 15, 2002
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005058L PA Yes

Addresses

Primary practice location

695 N Lewis Rd
Limerick, PA 19468-1227

Mailing address

695 N Lewis Rd
Limerick, PA 19468-1227
Phone (610) 495-4550

Other providers in Limerick, PA

All providers in Limerick, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.