Mr Stephen J Daillak, RPT | |
1191 Creston Rd Ste 115, Paso Robles, CA 93446-3033 | |
(805) 239-3696 | |
(805) 239-3697 |
Full Name | Mr Stephen J Daillak |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 1191 Creston Rd Ste 115, Paso Robles, California |
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 |
---|---|---|---|
1497813133 | NPI | - | NPPES |
OPT271750 | Other | CA | BLUE SHIELD |
ZZZ06333Z | Other | CA | BLUE SHIELD GROUP |
PT27175 | Other | CA | BLUE CROSS |
GPT001411 | Medicaid | CA | |
PT27175 | Other | CA | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | PT27175 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North County Physical Therapy Inc | 4688605470 | 3 |
Entity Name | North County Physical Therapy Inc |
---|---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1649445180 PECOS PAC ID: 4688605470 Enrollment ID: O20051214000870 |
Mailing Address | Practice Location Address |
---|---|
Mr Stephen J Daillak, RPT 1191 Creston Rd Ste 115, Paso Robles, CA 93446-3033 Ph: (805) 239-3696 | Mr Stephen J Daillak, RPT 1191 Creston Rd Ste 115, Paso Robles, CA 93446-3033 Ph: (805) 239-3696 |
Maryann T Vesnaver, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1191 Creston Rd Ste 115, Paso Robles, CA 93446 Phone: 805-239-3696 | |
Denise M Stanley, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1191 Creston Rd Ste 115, Paso Robles, CA 93446 Phone: 805-239-3696 | |
Mrs. Mary Ann Burke, RPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1191 Creston Rd. #115, Paso Robles, CA 93446 Phone: 805-227-4156 Fax: 805-227-4899 |