Charles Stewart Bacon, DPT | |
1503 Washington Ln, Augusta, KS 67010-1638 | |
(316) 775-0700 | |
(316) 775-9007 |
Full Name | Charles Stewart Bacon |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1503 Washington Ln, Augusta, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417203233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-04429 (Kansas) | Primary |
Provider Name | Physical Therapy At Fho Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699308882 PECOS PAC ID: 7810327368 Enrollment ID: O20200423001815 |
Mailing Address | Practice Location Address |
---|---|
Charles Stewart Bacon, DPT 1503 Washington Ln, Augusta, KS 67010-1638 Ph: (316) 775-0700 | Charles Stewart Bacon, DPT 1503 Washington Ln, Augusta, KS 67010-1638 Ph: (316) 775-0700 |
Mr. Tanner J Steingard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1503 Washington Ln, Augusta, KS 67010 Phone: 316-775-0700 Fax: 316-775-0730 | |
Mr. Brian J Gimler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Lakepoint Dr, Augusta, KS 67010 Phone: 316-775-6333 | |
Cynthia Christine Harrison, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1503 Washington Ln, Augusta, KS 67010 Phone: 316-775-0700 Fax: 316-775-0730 | |
Dr. Daniel Andrew Stephens, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1503 Washington Ln, Augusta, KS 67010 Phone: 316-775-0700 Fax: 316-775-0730 | |
Mrs. Julie Ann Gawith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1503 Washington Ln, Augusta, KS 67010 Phone: 316-775-0700 Fax: 316-775-0730 | |
Mrs. Erica Christine Brown, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1503 Washington Ln, Augusta, KS 67010 Phone: 316-775-0700 Fax: 316-775-0730 |