Bryce Fortner, PT, DPT | |
101 E 9th St, Pana, IL 62557-1716 | |
(217) 562-6238 | |
Not Available |
Full Name | Bryce Fortner |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 15 Years |
Location | 101 E 9th St, Pana, Illinois |
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 |
---|---|---|---|
1326300609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.018169 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pana Community Hospital Association | 3274437348 | 53 |
Provider Name | Pana Community Hospital Association |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
Mailing Address | Practice Location Address |
---|---|
Bryce Fortner, PT, DPT 101 E 9th St, Pana, IL 62557-1716 Ph: (217) 562-6238 | Bryce Fortner, PT, DPT 101 E 9th St, Pana, IL 62557-1716 Ph: (217) 562-6238 |
Garrett Claxon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6328 | |
Ms. Maiden Louise Axalan Bacolod, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 S Chestnut, Prairie Rose Healthcare Center, Pana, IL 62557 Phone: 217-562-3996 | |
Mrs. Patra Dawn Deere, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6328 Fax: 217-562-6281 | |
Mollie Rae Beyers, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 E 9th St, Pana, IL 62557 Phone: 217-562-6328 |