Benjamin Fedewa, DPT | |
4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | |
(510) 547-1630 | |
(510) 923-1844 |
Full Name | Benjamin Fedewa |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 4341 Piedmont Ave Ste 201, Oakland, California |
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 |
---|---|---|---|
1316375132 | NPI | - | NPPES |
0318505 | Other | WA | L&I |
0318649 | Other | WA | L&I |
0318507 | Other | WA | L&I |
031853 | Other | WA | L&I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60415927 (Washington) | Secondary |
225100000X | Physical Therapist | PT295677 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advent Rehabilitation, Llc | 9537070545 | 52 |
Provider Name | Advent Rehabilitation, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1780639658 PECOS PAC ID: 9537070545 Enrollment ID: O20210513002139 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Fedewa, DPT 607 Dewey Ave Nw, Ste 300, Grand Rapids, MI 49504-5283 Ph: (616) 356-5000 | Benjamin Fedewa, DPT 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 Ph: (510) 547-1630 |
Eric Biglang-awa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1814 Franklin St, Suite 905, Oakland, CA 94612 Phone: 510-893-7463 | |
Suzanne P Whitcomb, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Mr. Matthew Gabrielson, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6221 | |
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 Fax: 510-923-1944 | |
Miss Denitza V Hristova, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Barbara Chan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000 | |
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 |