Bergomy Jeannis, DPT | |
15 Pearson Ave Apt 2, Somerville, MA 02144-2305 | |
(617) 501-1969 | |
Not Available |
Full Name | Bergomy Jeannis |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 15 Pearson Ave Apt 2, Somerville, Massachusetts |
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 |
---|---|---|---|
1659939288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 224229 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advance Physical Therapy And Sport Rehab | 2668535089 | 3 |
Massachusetts Luna Care Physical Therapy Llc | 8628468998 | 16 |
Provider Name | Advance Physical Therapy & Sport Rehab |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1417163817 PECOS PAC ID: 2668535089 Enrollment ID: O20090112000541 |
Provider Name | Massachusetts Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427713742 PECOS PAC ID: 8628468998 Enrollment ID: O20211130001099 |
Mailing Address | Practice Location Address |
---|---|
Bergomy Jeannis, DPT 15 Pearson Ave Apt 2, Somerville, MA 02144-2305 Ph: (617) 501-1969 | Bergomy Jeannis, DPT 15 Pearson Ave Apt 2, Somerville, MA 02144-2305 Ph: (617) 501-1969 |
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