Andrew Bacon, | |
120 E Lancaster Ave Ste 205, Ardmore, PA 19003-3209 | |
(484) 297-6491 | |
Not Available |
Full Name | Andrew Bacon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 120 E Lancaster Ave Ste 205, Ardmore, Pennsylvania |
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 |
---|---|---|---|
1073094298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cloudline Physical Therapy Llc | 6305266222 | 12 |
Provider Name | Orthopedic And Sports Physical Therapy Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588661235 PECOS PAC ID: 4082507660 Enrollment ID: O20150508000371 |
Provider Name | Cloudline Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457968448 PECOS PAC ID: 6305266222 Enrollment ID: O20201015000013 |
Mailing Address | Practice Location Address |
---|---|
Andrew Bacon, 120 W Germantown Pike Ste 100, Plymouth Meeting, PA 19462-1420 Ph: (610) 270-0370 | Andrew Bacon, 120 E Lancaster Ave Ste 205, Ardmore, PA 19003-3209 Ph: (484) 297-6491 |
Mrs. Desirae Urban, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003 Phone: 484-297-6491 Fax: 610-896-7218 | |
Bounce Back Physical Therapy Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 Rittenhouse Pl, Ardmore, PA 19003 Phone: 484-282-0660 Fax: 484-282-0666 | |
Hilary Park, Physical Therapist Medicare: Medicare Enrolled Practice Location: 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003 Phone: 484-297-6491 Fax: 610-896-7218 | |
Kelsey Nieckoski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 E Lancaster Ave Ste 205, Ardmore, PA 19003 Phone: 484-297-6491 | |
Cassidy Jameson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 E Lancaster Ave Ste 205, Ardmore, PA 19003 Phone: 484-297-6491 | |
Kayla Martin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 E Lancaster Ave Ste 205, Ardmore, PA 19003 Phone: 484-297-6491 Fax: 610-896-7218 |