Cullen Valier Cogburn, | |
449 Cottage Rd, South Portland, ME 04106-4924 | |
(207) 799-9700 | |
Not Available |
Full Name | Cullen Valier Cogburn |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 449 Cottage Rd, South Portland, Maine |
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 |
---|---|---|---|
1619551967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Maine Physical Therapy, Pa | 3678547478 | 4 |
Provider Name | Southern Maine Physical Therapy, Pa |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1154536472 PECOS PAC ID: 3678547478 Enrollment ID: O20040825001237 |
Mailing Address | Practice Location Address |
---|---|
Cullen Valier Cogburn, 16 Emerson St Apt 2, Portland, ME 04101-3294 Ph: (828) 545-6346 | Cullen Valier Cogburn, 449 Cottage Rd, South Portland, ME 04106-4924 Ph: (207) 799-9700 |
Kimberly B. Viola, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd, West, Ste 205, South Portland, ME 04106 Phone: 207-780-8860 | |
Lorna Kerbel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-879-7510 | |
Ms. Anna Elizabeth Chornyak, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-879-7510 | |
Carley Sims Eldredge, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-773-0040 | |
Elizabeth J Maher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Ocean St, South Portland, ME 04106 Phone: 207-799-8226 Fax: 207-799-9340 | |
Andrew Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd, West, Suite 205, South Portland, ME 04106 Phone: 207-780-8860 Fax: 207-780-8857 | |
Gregory Foster, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Rd Ste 205, South Portland, ME 04106 Phone: 207-780-8860 Fax: 207-523-8584 |