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DR. JACK ANTHONY MANZELLA D.C.
NPI 1174652291
Chiropractor in Bangor, WI

Active since March 05, 2007Accepts Medicare Assignment
1505 COMMERCIAL ST., BANGOR FAMILY CHIROPRACTIC, BANGOR, WI 54614(608) 486-4899(608) 486-4661 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Anthony Manzella D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK ANTHONY MANZELLA D.C. (NPI 1174652291) is an individual chiropractor in Bangor, Wisconsin, licensed in Wisconsin (2555-012) and active in the NPI registry since March 2007. He is a graduate of Palmer College Chiropractic - Davenport (1989).

NPPES Registry Identity

NPI1174652291
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK ANTHONY MANZELLACredential: D.C.
Location Address1505 COMMERCIAL ST., BANGOR FAMILY CHIROPRACTICBangor, WI 54614
Mailing Address22993 Cty. Rd. Y, Jack A. Manzella, D.c.Rockland, WI 54653 · (608) 486-4445
Phone(608) 486-4899
Fax(608) 486-4661
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1989
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174652291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 2555-012
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1505 COMMERCIAL ST., Bangor, WI 54614
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Other Identifiers 1

Medicare ID-Type Unspecified35337WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Anthony Manzella D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688860521
PECOS Enrollment IDI20101118000333

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
197 services19 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Manzella's NPI number?

The NPI number for Jack Manzella is 1174652291. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Jack Manzella located?

Jack Manzella practices at 1505 Commercial St. Bangor Family Chiropractic, Bangor, WI 54614. The listed phone number is (608) 486-4899.

What is Jack Manzella's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jack Manzella enrolled in Medicare?

Yes. Jack Manzella is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Manzella was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.