Vincent John R Busante, | |
247 S Main St, Reidsville, GA 30453-4605 | |
(912) 557-1000 | |
Not Available |
Full Name | Vincent John R Busante |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 5 Years |
Location | 247 S Main St, Reidsville, Georgia |
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 |
---|---|---|---|
1558979591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT007769 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optim Orthopedics Llc | 9931427002 | 85 |
Optim Orthopedics Llc | 9931427002 | 85 |
Provider Name | Optim Orthopedics Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780077982 PECOS PAC ID: 9931427002 Enrollment ID: O20150429001342 |
Mailing Address | Practice Location Address |
---|---|
Vincent John R Busante, 2200 Old Quacco Rd # Atp5204, Pooler, GA 31322-0558 Ph: (757) 515-9110 | Vincent John R Busante, 247 S Main St, Reidsville, GA 30453-4605 Ph: (912) 557-1000 |
Rebekah Hollis Parker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 247 A South Main Street, Reidsville, GA 30453 Phone: 912-557-8990 Fax: 912-557-8980 | |
Chasity Carter Mcneal, OCCUPATION THERAPIST Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 Fax: 912-557-1009 | |
Mrs. Ashley Nicole Vaughan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 247 S Main St, Reidsville, GA 30453 Phone: 912-557-1000 Fax: 912-557-1009 |