Camelyn T Gustafson, DPT | |
2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | |
(770) 982-0102 | |
(770) 982-0130 |
Full Name | Camelyn T Gustafson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 2400 Wisteria Dr, Snellville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619309564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT011088 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Orthopaedic Specialists Pa | 4587568472 | 46 |
Provider Name | Southeastern Orthopaedic Specialists Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629012935 PECOS PAC ID: 4587568472 Enrollment ID: O20040225000980 |
Mailing Address | Practice Location Address |
---|---|
Camelyn T Gustafson, DPT 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 Ph: (770) 982-0102 | Camelyn T Gustafson, DPT 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 Ph: (770) 982-0102 |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1553 Janmar Rd, Suite B, Snellville, GA 30078 Phone: 678-987-0250 Fax: 678-987-0217 | |
Dr. Fatima A Charakla, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1600 Medical Way Ste 150, Snellville, GA 30078 Phone: 770-978-5328 Fax: 770-979-7312 | |
Candace C Marshall, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Wisteria Dr, Suite A, Snellville, GA 30078 Phone: 770-982-0102 Fax: 770-982-0130 | |
Spencer Baron, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3991 Highway 78 W Ste 200, Snellville, GA 30039 Phone: 470-482-6933 Fax: 470-482-6940 | |
Mrs. Shirley Agapito Simms, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2971 Overwood Ln, Snellville, GA 30078 Phone: 212-365-4237 Fax: 718-365-3749 | |
Gabriel Warner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 Wisteria Dr Ste A, Snellville, GA 30078 Phone: 770-982-0102 | |
Ms. Rose Mary Tuggle, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2820 Main St W Ste B, Snellville, GA 30078 Phone: 470-719-1800 Fax: 470-719-1788 |