Antonio Mauricio Jr, PT | |
3999 Highway Pp, Poplar Bluff, MO 63901-9046 | |
(573) 712-2280 | |
Not Available |
Full Name | Antonio Mauricio Jr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 3999 Highway Pp, Poplar Bluff, Missouri |
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 |
---|---|---|---|
1992279830 | NPI | - | NPPES |
R1007 | Other | MO | MISSOURI LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | R1007 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Rehabilitation Llc | 6103903216 | 2 |
Provider Name | Southeast Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588848618 PECOS PAC ID: 6103903216 Enrollment ID: O20080414000166 |
Mailing Address | Practice Location Address |
---|---|
Antonio Mauricio Jr, PT Po Box 3, Poplar Bluff, MO 63902-0003 Ph: (573) 712-2280 | Antonio Mauricio Jr, PT 3999 Highway Pp, Poplar Bluff, MO 63901-9046 Ph: (573) 712-2280 |
Ozark Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2725 N Westwood Blvd Ste 17, Poplar Bluff, MO 63901 Phone: 573-778-9348 Fax: 573-686-4870 | |
Larry A Nations, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2725 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-9348 Fax: 573-686-4870 | |
Richard Pestillos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 May St, Mark Twain Caring Center, Poplar Bluff, MO 63901 Phone: 573-778-0854 | |
Lance Michael Dohogne, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 101, Poplar Bluff, MO 63901 Phone: 573-778-9348 | |
Darrel Killian, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 Highway 142, Poplar Bluff, MO 63901 Phone: 573-776-2450 | |
Lindsy Wilson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4358 Highway Pp, Poplar Bluff, MO 63901 Phone: 573-686-5439 | |
Cassie C Barnett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2981 Kanell Blvd, Poplar Bluff, MO 63901 Phone: 573-712-2280 Fax: 573-778-9589 |