Vernon C Modglin, DPT | |
5300 N Illinois St Ste 101, Fairview Heights, IL 62208-3500 | |
(618) 624-9300 | |
(618) 624-9330 |
Full Name | Vernon C Modglin |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 5300 N Illinois St Ste 101, Fairview Heights, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134610298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Vernon C Modglin, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Vernon C Modglin, DPT 5300 N Illinois St Ste 101, Fairview Heights, IL 62208-3500 Ph: (618) 624-9300 |
Kristen R Thompson, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10607 Lincoln Trl, Fairview Heights, IL 62208 Phone: 618-310-1600 | |
Athletico Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 5300 N Illinois St Ste 101, Fairview Heights, IL 62208 Phone: 618-624-9300 Fax: 618-624-9330 | |
Jennifer Cowdry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Market Pl, Suite 203, Fairview Heights, IL 62208 Phone: 618-398-4118 Fax: 847-881-9640 | |
Camille Sterling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Market Pl, Suite 203, Fairview Heights, IL 62208 Phone: 618-398-4119 Fax: 847-881-9640 | |
Ashley T Snider, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5300 N Illinois St Ste 101, Fairview Heights, IL 62208 Phone: 618-624-9300 Fax: 618-624-9330 | |
Michele Lee Renth, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 N Illinois, Suite 9, Fairview Heights, IL 62208 Phone: 314-621-1416 Fax: 618-624-9330 |