Rebecca Louise Vonbergen, DC
Individual provider Active NPI Chiropractor · Ithara, NY
NPI 1972680908 · NPPES record last updated Nov 1, 2018
Key facts
- NPI
- 1972680908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 010329-1 (NY)
- Practice address
- 520 West State St
Ithara, NY 14850 - Phone
- (607) 277-0101
- Fax
- (607) 277-0115
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
520 W State St
Ithaca, NY 14850-5222
Phone (607) 277-0101
Hospital & facility affiliations
- Cayuga Medical Center at Ithaca
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040217000520 | NY | Practitioner - Chiropractic | 6608761879 | Practice locations: Ithaca, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010329-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Vonbergen | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 010329-1 | NY | Yes |
Addresses
Primary practice location
520 West State St
Ithara, NY 14850
Mailing address
520 West State St
Ithara, NY 14850
Phone (607) 277-0101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010329-1 | Other | NY | LICENSE |
Other names
- Dr. Rebecca L Price
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2018. 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.