Benedict Iane Roque Lusung, | |
1200 Roosevelt Pl Unit A, Valparaiso, IN 46383-3707 | |
(219) 548-4663 | |
(219) 477-5920 |
Full Name | Benedict Iane Roque Lusung |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 1200 Roosevelt Pl Unit A, Valparaiso, Indiana |
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 |
---|---|---|---|
1427663418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05013907A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic Therapy Specialists, Pc | 8224020748 | 9 |
Provider Name | Orthopedic Therapy Specialists, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861418022 PECOS PAC ID: 8224020748 Enrollment ID: O20040402000234 |
Provider Name | Trinity Healthcare Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1619527702 PECOS PAC ID: 3678646866 Enrollment ID: O20180521001792 |
Mailing Address | Practice Location Address |
---|---|
Benedict Iane Roque Lusung, 1200 Roosevelt Pl Unit A, Valparaiso, IN 46383-3707 Ph: (219) 548-4663 | Benedict Iane Roque Lusung, 1200 Roosevelt Pl Unit A, Valparaiso, IN 46383-3707 Ph: (219) 548-4663 |
Mr. Jonathan Verano Pilario, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1811 Crimson Dr, Valparaiso, IN 46383 Phone: 847-414-7460 | |
Kristin Larsen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2904 Calumet Ave, Valparaiso, IN 46383 Phone: 219-462-1020 Fax: 219-462-1043 | |
Mrs. Kristina Diane Matthews, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 74 Journey Way, Valparaiso, IN 46383 Phone: 219-255-4378 | |
Michael A. Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 71 Silhavy Rd, Suite 121, Valparaiso, IN 46383 Phone: 219-462-0576 Fax: 219-462-0216 | |
Kimberlyn Renea Thomas, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1501 Eisenhower Ave Apt 104, Valparaiso, IN 46383 Phone: 574-806-4038 | |
Franklin Kilian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-8300 | |
The Rehabilitation Care Associates Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 952 S.state Rt 2, Suite 1, Valparaiso, IN 46385 Phone: 219-548-0597 Fax: 219-548-0598 |