Andrea Stachurski, PT, DPT, CSCS | |
3519 N Green River Rd, Evansville, IN 47715-1347 | |
(812) 473-7253 | |
(812) 473-7264 |
Full Name | Andrea Stachurski |
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Gender | Female |
Speciality | Physical Therapist |
Location | 3519 N Green River Rd, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104832245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05009003A (Indiana) | Primary |
225100000X | Physical Therapist | 005220 (Kentucky) | Secondary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083227169 PECOS PAC ID: 5193036432 Enrollment ID: O20201023002377 |
Mailing Address | Practice Location Address |
---|---|
Andrea Stachurski, PT, DPT, CSCS 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Andrea Stachurski, PT, DPT, CSCS 3519 N Green River Rd, Evansville, IN 47715-1347 Ph: (812) 473-7253 |
Conner J Zuber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558 Fax: 812-474-2296 | |
Arnaldo Santana Rodriguez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Crosslake Dr, Evansville, IN 47715 Phone: 812-477-1558 | |
Ricky Kenneth Lockard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 N Rosenberger Ave, Evansville, IN 47712 Phone: 812-476-7000 | |
Suzanne M Flamion, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14020 Old State Rd Ste D100, Evansville, IN 47725 Phone: 812-469-4770 | |
Kaylan Seng, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 Bellemeade Ave, Evansville, IN 47714 Phone: 812-479-1411 | |
Kayla Marie Lydon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5625 Pearl Dr Ste 100, Evansville, IN 47712 Phone: 812-759-7493 Fax: 812-401-2346 | |
Katherine E Garcia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Interchange Rd S Ste A, Evansville, IN 47715 Phone: 812-477-5000 Fax: 812-477-5002 |