COMPLETE well being center

We can bill all insurances. Coverage is often as high as 80%-100% of your visit. Dr. Eggenberger is an Acupuncture Physician licensed in the state of Florida to perform not just acupuncture but to practice Chinese Medicine including acupuncture, herbs, diet therapies and a form of traditional manual therapy called Tui Na. As a result even if your insurance does not cover acupuncture it will often still cover other modalities and the office visit. Fill out the form below and will contact you after verifying your exact coverage.

IF YOU NEED HELP WITH THIS FORM PLEASE CALL US - 305-255-0190.

How did you hear about us?:
Internet Ad
Internet Map Ad
Print Ad
Register Receipt Ad
Other

Your Name:*

Your Email:*

Your Phone Number:*

Address:*

City, State & Zip Code:*

Date of Birth:*

Sex:*

Chief Complaint:*

Subscriber ID:*

Group ID:*

Insured's relationship to patient:*

Insured name and ID if different from patient:

Marital Status:

Type of Insurance:*

Co-Pay for Specialists (if applicable):

Insurance Company Name:*

Insurance Company Phone Number (the one for providers):*

Comments/Requests (if any):