Brock Mitchell, | |
710 S Business 61, Bowling Green, MO 63334-5239 | |
(573) 324-6079 | |
Not Available |
Full Name | Brock Mitchell |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 710 S Business 61, Bowling Green, 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 |
---|---|---|---|
1790835221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 117923 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advance Hannibal Regional Hospital Llc | 6709022122 | 19 |
Provider Name | Advance Hannibal Regional Hospital Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629595020 PECOS PAC ID: 6709022122 Enrollment ID: O20131021000862 |
Mailing Address | Practice Location Address |
---|---|
Brock Mitchell, 53435 Eagle Ridge Ct, New London, MO 63459-2431 Ph: () - | Brock Mitchell, 710 S Business 61, Bowling Green, MO 63334-5239 Ph: (573) 324-6079 |
Elaine Mcdannold, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 S Business 61, Bowling Green, MO 63334 Phone: 573-324-6079 | |
Tyler Loewenstein, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 W Adams St, Bowling Green, MO 63334 Phone: 573-324-5441 | |
Advance Hannibal Regional Hospital, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Bus. Hwy 61 South, Bowling Green, MO 63334 Phone: 573-324-6079 Fax: 573-221-1808 | |
Megan Smelser, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 710 S Business Highway 61 Ste 100, Bowling Green, MO 63334 Phone: 573-324-6079 |