Deandre Kelly Shanese Small, PT | |
8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | |
(352) 448-7857 | |
(352) 382-7781 |
Full Name | Deandre Kelly Shanese Small |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 8477 S Suncoast Blvd, Homosassa, Florida |
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 |
---|---|---|---|
1396312559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT36881 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rehab Advantage Solutions Pllc | 0749534865 | 37 |
Provider Name | Rehab Advantage Solutions Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1164908307 PECOS PAC ID: 0749534865 Enrollment ID: O20181108000550 |
Mailing Address | Practice Location Address |
---|---|
Deandre Kelly Shanese Small, PT 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 Ph: (352) 448-7857 | Deandre Kelly Shanese Small, PT 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 Ph: (352) 448-7857 |
Susan Gradick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-1141 | |
Jennifer Perry, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 800-804-9961 | |
Piet Jaak Huys, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7945 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-6133 | |
Maria Landress, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 800-804-9961 Fax: 352-382-1146 | |
Christina Maria Trimborn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-1141 | |
Cindy Jean Savarino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-1141 | |
Cydne Jean Fuller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8477 S Suncoast Blvd, Homosassa, FL 34446 Phone: 352-382-7214 Fax: 352-382-7781 |