Tiffany A Truckenmiller, PT | |
1010 Fairway Dr, Freeport, IL 61032-6600 | |
(815) 599-6340 | |
Not Available |
Full Name | Tiffany A Truckenmiller |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 1010 Fairway Dr, Freeport, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225464530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 070020134 (Illinois) | Primary |
Entity Name | Freeport Regional Health Care Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
Mailing Address | Practice Location Address |
---|---|
Tiffany A Truckenmiller, PT 421 W Exchange St, Freeport, IL 61032-4008 Ph: (815) 599-7950 | Tiffany A Truckenmiller, PT 1010 Fairway Dr, Freeport, IL 61032-6600 Ph: (815) 599-6340 |
Stephanie Kaskavage, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6000 | |
Lindsay D Bader, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6000 | |
Kristin E Rabideau, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6000 | |
Cody Gallagher, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7880 Fax: 815-599-7238 |