Craig Robert Gustafson, | |
707 S Park St, Deer Park, WA 99006-7025 | |
(509) 276-8811 | |
Not Available |
Full Name | Craig Robert Gustafson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 707 S Park St, Deer Park, Washington |
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 |
---|---|---|---|
1629685573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hamilton Physical Therapy Pc | 7113902321 | 28 |
Provider Name | Hamilton Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023057064 PECOS PAC ID: 7113902321 Enrollment ID: O20040622000795 |
Provider Name | Corvallis Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891080529 PECOS PAC ID: 0941479463 Enrollment ID: O20110817000628 |
Mailing Address | Practice Location Address |
---|---|
Craig Robert Gustafson, 707 S Park St, Deer Park, WA 99006-7025 Ph: () - | Craig Robert Gustafson, 707 S Park St, Deer Park, WA 99006-7025 Ph: (509) 276-8811 |
Carey Ann Mack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24206 N Donielle Ln, Deer Park, WA 99006 Phone: 509-991-6585 | |
Andrew S Roberts, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
Samantha Iranon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 | |
Mr. Daniel W Roberts, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
Deer Park Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
Ms. Kerry Kathleen Suarez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 707 S. Park St., Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
509 Wellness Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 N Main St, Deer Park, WA 99006 Phone: 509-638-9808 |