Dana M Wade, PT | |
1129 Mechem Dr Ste C, Ruidoso, NM 88345-7292 | |
(575) 808-8721 | |
(575) 808-8723 |
Full Name | Dana M Wade |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 14 Years |
Location | 1129 Mechem Dr Ste C, Ruidoso, New Mexico |
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 |
---|---|---|---|
1063658706 | NPI | - | NPPES |
12757349 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3987 (New Mexico) | Secondary |
225100000X | Physical Therapist | 1087419 (Texas) | Secondary |
225100000X | Physical Therapist | PT3987 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Topline Therapy Llc | 4385058353 | 2 |
Provider Name | Topline Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1568012565 PECOS PAC ID: 4385058353 Enrollment ID: O20210203000034 |
Mailing Address | Practice Location Address |
---|---|
Dana M Wade, PT 125 Vista Rio Bonito Dr, Alto, NM 88312-9400 Ph: (575) 808-8721 | Dana M Wade, PT 1129 Mechem Dr Ste C, Ruidoso, NM 88345-7292 Ph: (575) 808-8721 |
Mrs. Roberta Renee Regalado, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 628 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-5820 Fax: 575-257-9560 | |
Mr. Ryan David Biricocchi, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 505-257-5820 Fax: 505-257-9560 | |
Mr. Ian Christopher Paul, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 575-257-5820 | |
Lydia C. Radosevich, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 439 Mechem Dr, Ruidoso, NM 88345 Phone: 505-257-1800 Fax: 505-257-2319 | |
Marla Loree Wall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 575-257-5820 | |
Ruidoso Physical Therapy Clinic, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 439 Mechem Dr, Ruidoso, NM 88345 Phone: 575-257-1800 Fax: 575-257-2319 |