Mrs Angela J Cusick, PT | |
3101 Fields South Dr, Champaign, IL 61822-3743 | |
(217) 366-1323 | |
Not Available |
Full Name | Mrs Angela J Cusick |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 3101 Fields South Dr, Champaign, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003889239 | NPI | - | NPPES |
070024735 | Other | IL | PROFESSIONAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070024735 (Illinois) | Primary |
2251X0800X | Physical Therapist - Orthopedic | 1102679 (Kansas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christie Clinic, Llc | 7719899319 | 202 |
Provider Name | Christie Clinic, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angela J Cusick, PT 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-1323 | Mrs Angela J Cusick, PT 3101 Fields South Dr, Champaign, IL 61822-3743 Ph: (217) 366-1323 |
Jasmine A Evans, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1323 | |
Blake P Doane, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0037 | |
Keith A Sternhagen, PT, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-356-6543 Fax: 217-356-8010 | |
Benjamin Kim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0036 | |
Whitney A Walker, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2403 Village Green Pl, Champaign, IL 61822 Phone: 217-359-4549 Fax: 217-359-4620 | |
Mateusz Wesolowski, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 S Neil St, Champaign, IL 61820 Phone: 217-649-0504 Fax: 217-253-8511 |